HomeMy WebLinkAboutApproved Documents - 3/20/2017— `Seri over031017
TRAVEL REQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
Pat Treloar, Chief of Fire Services
DATE:
031017
FINANCE DEPT. STAFF ONLY
LINE ITEM USED )I) /0? f (1-00 44/
FY.20,7 BUDGETED %ODU
EXPENDED YTD 5'I `f
THIS REQUEST
LEFT AFTER THIS
REQUEST
/70
Aig � S f4;i.( /%
NAME OF CLASS / MEETING:
Iowa Professional Fire Chief's Conference
DEPARTURE DATE:
April4, 2017
PURPOSE OF TRAVEL:
Attend annual Fire Chief's conference.
DESTINATION: Ames, IA
DEPARTURE POINT
IF NOT WATERLOO:
RETURN DATE:
April 6, 2017
DATE(S) OF MEETING:
April 4-6, 2017
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$125.00 LODGING TAXI
$25.00 MEALS PARKING
$20.00 REGISTRATION AIRFARE
MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ $170.00
BUDGET LINE ITEM: 010-12-1400-1346
x GRANT REIMBURSABLE
YES NO
REQUIRED CERTIFICATION
YES NO
TOTAL: $ 170.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF O
DEPARTMENT HEAD
3-- /0- (1
I APPROVE THIS TRAVEL REQUEST
MAYOR
e
3 /2
DATE
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY2OI%BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori.inal - Clerk/Finance
STAFF ONLY
/Ui,2/WO/3 o
�UUU
`i«/U -
IvU
z{55v�
27J . -//- /7
Co. - De.artment
NAME(S) AND POSITION(S):
Pat Treloar, Fire Chief
2 medical officers
DATE:
March 10, 2017
NAME OF CLASS / MEETING:
Regional EMS Billing & Documentation Conference
DESTINATION: Des Moines, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
April 18, 2017
RETURN DATE:
April 19, 2017
DATE(S) OF MEETING:
April 19, 2017
PURPOSE OF TRAVEL/TRAINING:
Attend Iowa Emergency Medical Service Association (IEMSA) annual conference regarding EMS Billing and
Documentation, and meet with representatives from PCC Billing services.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
250.00 LODGING
30.00 MEALS
600.00 REGISTRATION
30.00 MILEAGE/FUEL
50.00
TOTAL FOR ALL: $ 960.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1410-1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 320.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATE
DEPARTMENT HEAD
d►/Loc,L, 101 ao r -
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE DATE
1
K:\Shared Goodies\Forms\Travel Request Form January 2010
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY _2017 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1100-1346
44,,DO o 4
Zi2G2 3-/l-/7
Co.y - De•artment
NAME(S) AND POSITION(S):
Inv. Sadd
DATE
March 8th, 2017
NAME OF CLASS / MEETING:
(LEIN) Law Enforcement Intelligence Network Course
DESTINATION Ankeny, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
April 3rd, 2017
Return Date:
April 14th, 2017
DATE(S) OF MEETING:
April
3rd-7`h & l
o
t
h-14th, 2017
PURPOSE OF TRAVEL:
Captain Mohlis is requesting authorization to send Inv. Sadd to the LEIN Law Enforcement Intelligence Network course in
Ankeny, Iowa on April 3rd, thru the 14th, 2017. This is a two week Criminal Intelligence Course that will enhance Inv.
Sadd's understanding and knowledge for gathering Criminal Intelligence information as it pertains to his job in the
Investigations Division. Inv. Sadd has been awarded a scholarship to attend this class and the only cost to the city is
meals and fuel. A City vehicle will be needed for this travel.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$.00 LODGING .00
$392.00 MEALS .00
$.00 REGISTRATION .00
$/00.00 MILEAGE/FUEL .00
TOTAL FOR ALL: $ 492.00
Met
transportation
Tolls
AIRFARE
Baggage fee
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ 492.00 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
- 61- Zn (-i
DATE DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1346
FY _2017_ BUDGETED 14000
EXPENDED YTD o2 7 $h J
THIS REQUEST (. APD
LEFT AFTER THIS 7 [/D
REQUEST / C/1S 7
DATE --27. 4.,J .3•-//-/7
Original- Clerk/Finance Co. - De••rtment
NAME(S) AND POSITION(S):
Officers: Moore, Scarbrough, Galbraith, Schaaf, Frien,
Northup
DATE
March 10fh, 2017
NAME OF CLASS / MEETING:
Group Crisis Intervention Training
DEPARTURE DATE:
April 5th, 2017
DESTINATION Des Moines, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
Return Date:
April 6th, 2017
DATES) OF MEETING:
April 5 h-6`h, 2017
PURPOSE OF TRAVEL:
Captain Leibold is requesting authorization to send Officers; Moore, Scarbrough, Galbraith, Schaaf, Frien and Northup to
Group Crisis Intervention Training in Des Moines, Iowa on April 5-6, 2017. The course is designed to present core
elements of comprehensive, systematic and multi -component crisis intervention curriculum. The course will prepare
participants to understand a wide range of crisis intervention services. Officers will leave with the knowledge and tools to
provide several group crisis interventions, demobilizations, defusing's and critical incident debriefing. A City vehicle will be
needed for this travel.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
BUDGET LINE ITEM:
Met
$450.00 LODGING .00 transportation x GRANT REIMBURSABLE
$360.00 MEALS .00 Tolls YES NO
$300.00 REGISTRATION .00 AIRFARE x REQUIRED CERTIFICATION
$50.00 MILEAGE/FUEL .00 Baggage fee YES NO
TOTAL FOR ALL: $ 1160.00
TOTAL: $ 193.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATER'COO
DATE
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY �61/BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
1/42 2; 5/°Q /3La
is vac
/9S�
5,7vg�
27/4 3 /Pri
Coy be••rtment
NAME(S) AND POSITION(S):
Bob Lentzkow, Combination Inspector
DATE:
3/10/2017
NAME OF CLASS / MEETING:
Residential Builder Inspector Exam
DESTINATION Coralville, Iowa
DEPARTURE POINT
IF NOT WATERLOO
DEPARTURE DATE:
4/13/2017; 4/26/2017; 5/2/2017
(available dates)
RETURN DATE:
4/13/2017; 4/26/2017; 5/2/2017
(available dates)
DATE(S) OF MEETING:
4/13/2017; 4/26/2017; 5/2/2017
(available dates)
PURPOSE OF TRAVEL/TRAINING
Required certification
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
MEALS
199.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 199.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-22-5100-1346
X GRANT REIMBURSABLE
YES NO
X
YES NO
TOTAL: $ 199.00
REQUIRED CERTIFICATION
PER PERSON
I BELIEVE THIS TRIP SER A PUBLIC PURPOSE
AND IS NECESSARY A)IDB EFICIAL TO THE
CITY OF NATERLOO
DEPARTMENT HEAD
)0H
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
Fti It — -�
MAYOR
3
/2,6,/I 7
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM VSED
FY ." )//BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
6- c) S a o D (34/ to
/36
-.74w
Co • - De . • rtment
NAME(S) AND POSITION(S):
Craig Billerbeck — Lab Tech
DATE:
March 14, 2017
NAME OF CLASS / MEETING:
Submersible Pump & Control Panels
DEPARTURE DATE:
March 7, 2017
March 6, 2017
DESTINATION: DEPARTURE POINT
IF NOT WATERLOO: Kirkwood Community College
Cedar Rapids, IA
RETURN DATE:
March 7, 2017
March 6, 2017
DATE(S) OF MEETING:
March 7, 2017
March 6, 2017
PURPOSE OF TRAVEL/TRAINING:
Education, CEU's Original class scheduled for March 7`h was canceled due to class size. Was offered difference
class on March 6. Original class cost of $125.00 has been paid. There is $10.00 still due.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
xx
YES NO
COST $
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
MEALS
125.00
135.00 REGISTRATION
MILEAGE/FUEL
125.00
TOTAL FOR ALL: $ $135.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 520-14-5200-1346
x GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
125.00
TOTAL: $ $135.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
ti _CC
ARTME1
DEP T HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
wC A D A/F -> 74--t
MAYOR
3/ /17
DATE
CHANGE ORDER NO. 6-1
Owner: City of Waterloo Date: 3-14-17
Project: Repairs to 6th St, 16th St, and Ansborough Avenue
Owner's Contract No. 916 Contractor: Jasper Construction Services
Date of Contract Start: 9-17-16 $ 223,910.00
You are directed to make the following changes in the Contract Documents. Description:
Replace southwest expansion joint, repair southwest backwall concrete, clean south abutment seat, provide
partial depth sidewalk patching, remove and replace southwest approach pavement, remove one damaged
lateral bracing, and provide traffic control on the Park Avenue Bridge over the Cedar River as shown in attached
sheets V.24 and V.25.
Reason for Change Order:
The abutment backwall supporting the expansion joints are failing at the southwest corner and sidewalk
concrete is spalled.
CONTRACT PRICE
To substantial
completion
Original: $223,910.00
Previous CIO's (ADD/DEDUCT): $8,352.04
This C.O. (ADD/DEDUCT): $ 53,065.50
Contract Price with all
approved Change Orders: $285,327.54
CONTRACT TIMES (Calendar Days)
To final
completion
Original Completion Date: 06-02-17
Previous CIO's (ADD/DEDUCT): N/A
This C.O. (ADD/DEDUCT): N/A
REVISED: N/A
Revised Completion Date: 06-30-17
(All Items)
It is agreed by the Contractor that this Change Order includes any and all costs associated with or resulting from the change(s)
ordered herein, including all impact, delays, and acceleration costs. Other than the dollar amount and time allowance listed above,
there shall be no further time or dollar compensation as a result of this Change Order.
THIS DOCUMENT SHALL BECOME AN AMENDMENT TO THE CONTRACT AND ALL
STIPULATIONS AND COVENANTS OF THE CONTRACT SHALL APPLY HERETO.
APPROVED:
By:
OWNER (Authorized Signature)
ACCEPTED: `�---�
By: /-47
� ✓
CONTRA T uthorized Signature)
Date
Date
AECOM, Inc.
60521749 / 6-1
Project Change
Number Order No.
CHANGE ORDER FORM Page CO-1
AECOM 60521749
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-29-7700-1346
0
;20/ SsC
Copy - Department
NAME(S) AND POSITION(S):
Quentin Hart, Mayor
DATE:
March 15, 2017
NAME OF CLASS / MEETING:
Air Service Workshop/meeting
DESTINATION: Chicago, IL
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
March 30, 2017
RETURN DATE:
March 31. 2017
DATE(S) OF MEETING:
March 31, 2017
PURPOSE OF TRAVEL/TRAINING:
Attend air service workshop
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$200 LODGING
$70 MEALS $50
REGISTRATION
$100 MILEAGE/FUEL $20
TOTAL FOR ALL: $ 440
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-29-7700-1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 440
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
I APPROVE THIS TRAVEL REQUEST
- 3_.l A DJfi 9. /fah'
MAYOR
DATE DATE
3/2 7i
K:\Shared Goodies\Forms\Travel Request Form January 2010
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 3/z6/t
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint
$ 18,076.25 plus est. shipping costs of $
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Purchase of seven (7) VFD (Variable Frequency Drive) for Five Sullivan Brothers
Convention Center
Vendor selected for this purchase: Hupp Engineered Products
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:
n General Fund n Road Use Tax n Sewer Sanitation
nBonds Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
416-22-4900-2152
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
(Project Code)
$ (cOU,ODUi
$
Respectfully submitted,
(Si aturDept. Head or Designee) D� (Signs ure 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 3 (2d / 17
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint Department to expend
$ 4,440.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
R22 (freon) refrigerant for six (6) chillers at Five Sullivan Brothers Convention Center
Center
Vendor selected for this purchase: Central Plains
Bids or written quotes were taken on this purchase, as follows:
Central Plains - $4,440.00
Wayne Dennis - $ 4,560.00
Johnstone Supply - $ 4,614.00
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:
n
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:
010-22-8800-1371
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
(Project Code)
and the current available balance is $ ;23, 3(106°
Respectfully submitted,
3/s-/i7 �l ,(0,e- lz)/f 4 3/5 (7
( gnat e De�or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies \forms\Pre-Auth - 5 Sull Bros - Freon Chillers.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 3 llb /( l
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint Department to expend
$ 26,100.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Replace six (6) obsolete Johnson controls with Halvorson Trane temperature controls -
building automation at Five Sullivan Brothers Convention Center
Vendor selected for this purchase: Halvorson Trane
❑ 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:
I^1
General Fund n Road Use Tax ❑ Sewer
Bonds
Federal/other grants
Other (specify)
This expenditure is to be coded to the following budget line -item:
416-22-4900-2152
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
Sanitation
(Project Code)
$ foOO, CO O �
and the current available balance is $ 4-te
Respectfully submitted,
c3/5— 7 f�),/../dm, n 3/5"-i1
1/-----
u a Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth - 5 Sull Bros - Hupp 7 VFD.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
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 FIRE Department to expend
$ NTE 5,000 plus est. shipping costs of $ to pay for or purchase
Custom Height Truck Vault
This purchase or expenditure is being made because:
We need to properly secure & store medical equipment in our Medical Supervisor
vehicle. The vault will protect the equipment as well as occupants within vehicle.
Vendor selected for this purchase: Karl Emergency Vehicles
❑X Bids or written quotes were taken on this purchase, as follows:
We received one quote from the manufacturer (Truck vault) and one quote from
Karl Emergency Vehicles.
❑ 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
Federal/other grants
Sewer ❑ Sanitation
Other (specify)
This expenditure is to be coded to the following budget line -item:
416-12-1410-2117 Amb/replacement/336
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respe 1f llyitted,
$ 180,000.00 /
$ 8,205.03 ✓
3-1 CI-17 .,,A, /L /
(Signature Dept. ead or Designee) Date (Signa re Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth for 330 (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date / 20/r 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 Central Garage Department to expend
$ 2,211.00 plus est. shipping costs of $ 200.00 to pay for or purchase
Lift Gate for truck 261614
This purchase or expenditure is being made because:
Safety related support for loading and unloading equipment and materials
Vendor selected for this purchase: School Bus Sales
E Bids or written quotes were taken on this purchase, as follows:
School Bus Sales, Waterloo, IA - $2211.00 + $200 frt
Cortez Truck Sales, Cedar Rapids, IA - $4064.00 + $180 frt
l l 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
15 Bonds Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
415-26-4205-2117
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Project Code)
$ 42,000.00
$ 16,121.00
3-/! -/7
K:\shared goodies\forms\Central Garage - Lift Gate for Art Center Truck 261614 - Mar 2017.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 73/740
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 WFR
Department to expend
$ 1,946.96 plus est. shipping costs of $ 94.47 to pay for or purchase
(2) doors for Training Tower.
This purchase or expenditure is being made because:
Current doors are more than 20 years old and need to be replaced.
Vendor selected for this purchase: Fire Facilities, Inc.
[x
Bids or written quotes were taken on this purchase, as follows:
See attached bids.
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 n Sewer n Sanitation
Federal/other grants
Other (specify)
This expenditure is to be coded to the following budget line -item:
290-12-1415-2152 12GRTPADO8
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
$ 100,000.00 �
$ 5,802.55
3 (0— l7 %emu lJ 3
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
Sent over 031017.
City Clerk Use Only
Finance Committee
Approval Date 3 / 20/ 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
$ $105 per unit plus est. shipping costs of $ NA to pay for or purchase
portable handicap restrooms to be placed in various parks.
This purchase or expenditure is being made because:
The units are placed in various parks for the summer season. Approximately 12
units are rented per month and vary relating to park activities. Price fixed @ $105.00
Vendor selected for this purchase: Cooley Pumping , Grundy Center
U Bids or written quotes were taken on this purchase, as follows:
Cooley Pumping , Grundy Center IA $105 per unit $0 del/pickup
Black Hawk Waste, Waterloo IA $105 per unit $145 for Lafayette Park$0 del/pick up
Cedar Valley Portables, Nashua $130/$0 Action Services, Cedar Rapids $150/$25
❑ Bids or quotes were not taken on this purchase because:
Estimated expense for FY 2017 $2,625
Estimated expense for FY 2018 $4,305
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:
010-37-4100 1390
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted„
C � 3 (5/ l7 •n /�)i� 3 !S/7
(Signature Dept. H r Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Authorization portable restrooms 2017.xls (Mar 2010)
Sanitation
(Project Code)
$ 147,175/ 'jf4,175
$ 48,795.0C:601%175
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 3/7-0
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Parking
$ NTE 6500 plus est. shipping costs of $
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
The ticket dispenser at the convention center ramp is malfunctioning.
Vendor selected for this purchase: Parking, Inc.
❑x
Bids or written quotes were taken on this purchase, as follows:
Parking, Inc. - Repubilc was unable to locate a second bidder that can repair this
equipment quickly.
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 ❑ Sewer ❑ Sanitation
ElBonds ❑ Federal/other grants 0 Other (specify)
This expenditure is to be coded to the following budget line -item:
414-22-7960-2180
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ 6,500.00
and the current available balance is $ 6,500.00
Respectfully submitted,
erpn (rf1 o( J�e6J) »� i��� z /fir r 41-tug
(Signature Dept. Head or Desi ee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-auth Blank Form.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date / qt ?
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer Department to expend
$ 6.811.74 plus ext. shipping cost of $ 400.00 to pay for or purchase
Two replacement 8 inch check values for Con Agra flow equalization station
This purchase or expenditure is being made because:
check values worn and Con Agra will be reimbursting for cost.
Vendor selected for this purchase:
Schimberg Co.
Bids or written quotes were taken on this purchase, as follows
®Bids or quotes were not taken on this purchase because:
Schimberg Co. is rep. for these replacement check values.
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:
❑Federallother grants: ElOther(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
and the current available balance is
Respectfully submitted,
(Signature Dept. Head Or Designee)
$ 350,000.00 ✓
$ 53,741.12
20 I �%c� L.11-12-/2tr1 3-7517
Date (Sig ature Finance Dept. Review) Date
City Clerk Use Only
Finance Committee
Approval Date 3/2-
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
$ 2.806.25 plus ext. shipping cost of $ 400.00 to pay for or purchase
Replacement Bell & Gossett b300 tank with bladder for Digester boiler system
This purchase or expenditure is being made because:
Current tank with bladder has a leak in the bladder.
Vendor selected for this purchase:
Schimberg Co.
Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Emergency replacement, has been ordered, three to four weeks for delivery. Schimberg
Co. is the rep. for this replacement tank w/bladder.
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: nSanitation:
Bonds:
❑Federal/other grants:
ElOther(specify):
This expenditure is to be coded to the following budget line -item:
520-14-5000-1571
(Fund - Department - Activity - Account Number)
in which budgeted amount is
(Project Code)
$ 350,000.00 /
and the current available balance is $ J p p -j5
Respectfully submitted,
-.1)—(- t(3/702.i4,t,� b) �(Signature Dept. Head Or Designe) Date (Signature Finance Dept. Review) Date
City Clerk Use Only
Finance Committee
517
Approval Date 3 //
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
$ 2.673.00 plus ext. shipping cost of $ 0.00 to pay for or purchase
Replacement parts, Stationary wear ring and brass wear ring for #3 Mixed Liquor Recycle Pump
This purchase or expenditure is being made because:
Motor had sewage in lower motor housing from seal leak on submersible pump.
These parts were not in first approved Pre-Auth.
Vendor selected for this purchase:
Quality Pump & Control
Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Emergency replacement, parts have been ordered. Want to amendment approved Pre-
Auth 12-19-2016 for an addded cost of $2,673.00 for a total cost of $24,850.00 on #3
Mixed Liquor Recycle Pump. Quality Pump & Control is rep. for parts and repair work on
this pump.
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: ElOther(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 $ 350,000.00 ‘r-
and the current available balance is
Respectfully submitted,
/3✓
$ 54444444 `43?3
�3 fz, °(7 AfkJL •
L)2.,/.o 3-/b /7
(Signature Dept. Head Or Designee Date (Signature Finance Dept. Review) Date
• City Clerk Use Only
Finance Committee
Approval Date -21'1 �t / w
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
$ 21.777.00 plus ext. shipping cost of $ 400.00 to pay for or purchase
Motor rewind, pump rebuild kit and repair work for #3 Mixed Liquor Recycle Pump
This purchase or expenditure is being made because:
Motor had sewage in lower motor housing from seal leak on submersible pump.
Vendor selected for this purchase:
Quality Pump & Control
nBids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Quality Pump & Control is rep. for parts and repair work on this pump.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund: nRoad Use Tax: Sewer: nSanitation:
Bonds:
❑FederaI/other grants:
nOther(specify):
This expenditure is to be coded to the following budget line -item:
520-14-5200-1571
(Fund - Department - Activity - Account Number)
in which budgeted amount is
(Project Code)
$ 350,000.00
and the current available balance is $ 160,447.17
Respectfully submitted,
(Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review)
iz
Date
City Clerk Use Only
Finance Committee /
Approval Date 3/ Zc /17
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
$ 5.365.00 plus ext. shipping cost of $ 200.00
Replacement Auma actuator for Easton Aeration Basin zone #1
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Replace Auma actuator because of age and ware, not operating as should.
Vendor selected for this purchase:
Mellen & Assocites
Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Mellen & Assocites is the rep. to purchase the Auma actuator.
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:
ElOther(specify):
This expenditure is to be coded to the following budget line -item:
520-14-5200-1378
(Fund - Department - Activity - Account Number)
in which budgeted amount is
and the current available balance is
Respectfully submitted,
�1Z-- 5( (5 (Zo t 1
(Signature Dept. Head Or Designee) Date
(Project Code)
$ 48,000.00 ✓
$ 30.929.76
(Signature Finance Dept. Review) Date
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO
If so, date approved: 3/ _ ,/( 1
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 17 submitted by the POLICE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 11 1150 3873
Reimburse. Serv.
11GRT ODEF
7,500.00
010 11 1150 1114
Overtime
11GRT ODEF
7,500.00
TOTAL
$7,500.00
TOTAL
This amendment is being requested because:
This is to conform with the City's budget line item control policy. Using additional grant monies WC-IAN-0122
$7,500.00
Prior Committee Actions (Dates):
0 (Signature Dept( or Designee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\userslshared goodies \forms \csbudgetamendregform (Apr 2003)