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HomeMy WebLinkAboutApproved Documents - 10/19/2020City Clerk Use Only Finance Committee Approval Date 1 0-1 9-2020 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 Department to expend $ 6,895.00 plus est. shipping costs of $ 300.00 to pay for or purchase 1 - New Bartell Morrison Self -Propelled 25 ft. Truss Screed This purchase or expenditure is being made because: To be used for concrete panel repairs. Vendor selected for this purchase: Star Equipment LTD �■ Bids or written quotes were taken on this purchase, as follows: Star Equipment LTD Waterloo, IA $6,895.00 Gierke Robinson Waterloo, IA $7,735.00 Black Hawk Rental - did not meet specs - Waterloo, IA IT 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 IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 416-19-7100-2117 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sandie Greco 10/12/2020 $ 257,195.00 $ 7,195.00 Mzc/te//e /V etAer (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) PROJECT BUDGET WORKSHEET INSTRUCTIONS The purpose of the project budget form is to set up a budget and project code that can be used to more specifically account for certain construction or non -construction projects funded with state and federal grants, donations, or any "restricted" type revenue sources. This form should be completed BEFORE any invoices are processed or payments are made. It is also needed before any of the revenue is deposited. If you are not sure if a particular project needs a project code, please contact the Finance Department. We are glad to help! 1.) Page 1 is REQUIRED for all projects. Complete the page 2 (constr proj) tab if you are requesting a budget for a construction project. Complete page 2 (donat or NON-constr) if you are requesting a budget for any project, other than one involving construction. 2.) You MUST provide the CFDA # for all federally -funded projects, including those that involve federal funds but are passed on to the city from the State of Iowa. The grantor is required to provide that number to you. Sometimes that number is provided in the grant application only, so that is a good place to look for it if you can't find it in the grant award document. 3.) The revenue and expense account numbers provided on both page 2 tabs are commonly -used examples only. You may change, add or edit those if there's a number you need that isn't listed. This form isn't meant to list all possible account numbers, only those that are used the most often. 4.) Separate columns should be completed on the budget worksheet (page 2) if the project involves different "funds" (e.g. GO bond fund and grant-fund/fund 290). Expenses and revenue for each fund should be separated into columns and EACH column's revenue and expenses MUST EQUAL! You will get an "error" message below the expense totals line if they don't. You need to make a correction if you get an error message. 5.) In general, the Finance Department will assign the project codes. However, if you have a request or suggestion for the code you'd like to use, please discuss that with the Finance Department before submitting your worksheets. 6. Please remember to forward the related grant award document to the Finance Department, along with the budget. PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Asbestos Abatement - 120 Center Street City Contract No. Project Manager Project Budget Total Noel Anderson $ 11,290.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name CFDA # B. State Grant Yes X No Grant Name IDNR - IA BF Redev Program Community Assist. C. City Match Source of Funding GO Bonds D. Other Entities Yes No Name 2. Attach copies of any grant agreements that will fund the project (REQUIRED) To be assigned by the Finance Dept. Project No. 08GRT Subproject No. 120CTRAA % Paid by federal grant Grant Agreement Number % Paid by state grant 55.71 Grant Agreement Number 21-7540-05 Paid by City 44.29% Paid by other entity 100.00% 3. Does the project include the purchase of right of way or other real property? If yes, will real property purchases be reimbursable under the grant? If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs C. Others, list 5. Does this project cover any regular full-time salaries or benefits? If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Done None ❑X ❑ Yes No ❑ ❑X ❑ ❑ El El ❑ ❑X ❑ ❑ ❑ ❑ Proper containment, removal and disposal of asbestos containing materials (ACM's) within structure at project site. Page 2 must be attached and signed. K:\shared goodies\forms\Waterloo.25502.1.120_Center-ACM.xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 10-19-2020 Project Name (from page one) Asbestos Abatement - 120 Center Street Department No. project will be budgeted under 08 Activity No. project will be budgeted under 5150 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 - BH Gaming 3750 Sale of Bonds EXPENDITURES: To be assigned by the Finance Dept. Project No. 08GRT Subproject No. 120CTRAA (Each column should only include amounts by fund) Fund: 290 Fund:417 Fund: Fund: Total 6,290.00 6,290.00 5,000.00 5,000.00 TOTALS $ 6,290.00 $ 5,000.00 $ 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 1396 - Demo Noel Anderson 6,290.00 $ $ 11,290.00 5,000.00 11,290.00 TOTALS $ 6,290.00 $ 5,000.00 $ $ $ 11,290.00 Macke'/e A/eidner SIGNED 10/23/2020 05:25 PM EDT (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Waterloo.25502.1.120_Center-ACM.xls\Page 2 (Donat or NON-constr) (Mar 2010) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES X NO If so, date approved: 10-19-2020 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 2021 submitted by the Police Department 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 1160 3720 Donataion IPRO.WCFFF 1,865.00 010 11 1160 1325 Crime Prevention IPRO.WCFFF 1,865.00 TOTAL $1,865.00 TOTAL $1,865.00 This amendment is being requested because: This is to conform with the City's budget line item control policy. Additional donation in the amount of $1865 from the Waterloo Communit Foundation will be used for expenses related to COVID-19 community outreach. See attached paper worked. Prior Committee Actions (Dates): Captiain Mohlie (Signature Dept. Head or Designee) A tche//e V V elder 10/23/2020 05:25 PM 10/13/2020 EDT Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Budget_Amendment_Waterloo_Community_Foundation_First_Responders_fund.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES X NO If so, date approved: 10-19-2020 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 2021 submitted by the Police Department 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 1160 3603 TRI CO FORF 11TRI.TRIF 60,000.00 010 11 1160 1512 TRI CO FORF 11TRI.TRIF 60,000.00 TOTAL $60,000.00 TOTAL This amendment is being requested because: This is to conform with the City's budget line item control policy. Using current revenue to increase the FY21 expense line. $60,000.00 Dave Mohlis, Police Captain 10/14/2020 Prior Committee Actions (Dates): Captain Dave Mohlis //c%e//e 1/4/e/di er t 10/23/2020 05:25 PM EDT (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Waterloo.25468.1.Budget_Amendment_Tri_County_10-19-2020.xls (Apr 2003) Under File, Select "Save As" From the "Save In" drop down box, locate the directory you wish to save your file in. You may rename the file in the "File name:" box at the bottom of the screen. REMEMBER: the form itself is protected so you can only enter information in the yellow high -lighted cells. At the top of the form, go to the first cell requiring information. This is Cell El 1, directly after "FYE" Once you've completed the fiscal year you can press the "tab" key to go to the next cell requiring information to be entered. You may continue to press the "tab" key to move between the areas of the form that you must complete. Or, you can simply use your mouse and click on the individual yellow cells you wish to move to. The "TOTALS" will automatically be completed for you. Once all information is entered, save your file and print the form. Obtain the required signature and date and route the completed form to the Finance Department for their signature/approval. City Clerk Use Only Finance Committee Approval Date 1 0-1 9-2020 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 Garage - Waste Mgt Department to expend $ 17,376.58 plus est. shipping costs of $ to pay for or purchase Labor and materials to repair the Vac Blower Parts list and estimate attached This purchase or expenditure is being made because: This is a vacuum truck (Camel Truck) is used to clean sewers, manholes, etc. (only local vendor to repair this type of truck) Vendor selected for this purchase: MacQueen Equipment �■ Bids or written quotes were taken on this purchase, as follows: MacQueen Equipment Ankeny, IA $17,376.58 IT 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 IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-7955-1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sandie Greco 10/13/2020 $ 345,500.00 $ 242,854.09 Mzc/te//e /V etAer (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 1 0-1 9-2020 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 $ 19,002.90 plus est. shipping costs of Police $ 00 Department to expend to pay for or purchase twenty-one Vortex Level II ballistic vests to be worn by department police officers. This purchase or expenditure is being made because: This is part of a federal grant that covers fifty percent of ballistic vest expenses as the vest are at the end of the five year expiration. $9501.45 City Funds, $9501.45 Grant Funds Vendor selected for this purchase: Galls Inc. n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: This is the last year of a five year bid with Galls Inc., the supplier of the departments ballistic vests. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds . Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 419-11-1100-2128 Body Armor/010-11-1150-1579 11GRT.VST9/11GRT.VST10 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 47,000.00/ 2110.37/ 7661.71 and the current available balance is Respectfully submitted, Dave Mohlis, Police Captain 10/5/2020 $ 14,838.93/ 2110.37/ 7661.71 Mzc/te//e /V etAer (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 1 0-1 9-2020 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 $ $4,760.66 plus est. shipping costs of $ 55.00 to pay for or purchase equipment and installation of phone and network cabling for the third floor remodeling project of the Police Department. This purchase or expenditure is being made because: ability to connect telephones and computers to the city network. Vendor selected for this purchase: RC Systems n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: RC Systems is the provider of the systems that is currently being used by the department. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 418-11-1100-2152 Police Department Improvements (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 and the current available balance is $ 44,586.14 Respectfully submitted, Dave Mohlis, Police Captain 10/13/20 Altc/te//e /V etAer (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 1 0-1 9-2020 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 $ $8,004.63 plus est. shipping costs of $ 0 to pay for or purchase Heating and Cooling unit for the third floor remodeling project of the Police Department. This purchase or expenditure is being made because: installing a heating and cooling unit for the police department remodeling project. This floor is not connected to the existing heating and cooling system. Vendor selected for this purchase: Dennis Supply Company �■ Bids or written quotes were taken on this purchase, as follows: Dennis Supply Co. $8,004.63 Johnstone Supply $10,278.19 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 IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 418-11-1100-2152 Police Department Improvements (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Dave Mohlis, Police Captain 10/13/20 $ 50,000.00 $ 35,009.82 Altc/te//e /V etAer (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 1 0-1 9-2020 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 $ $6,509.00 plus est. shipping costs of $ 0 to pay for or purchase Security key fob door locking system for the third floor remodeling project of the Police Department This purchase or expenditure is being made because: installing a key fob locking systems for the crime lab doors, logging and limiting access to restricted areas of the crime lab. Vendor selected for this purchase: Atech Freeman Security n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Atech Freeman Security is the company that is currently being used by the department for door security. These three locks will be added to the current system. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 418-11-1100-2152 Police Department Improvements (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Dave Mohlis, Police Captain 10/13/20 $ 50,000.00 $ 39,770.48 Altc/te//e /V etAer (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 10-19-2020 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 SEWER Department to expend $ 12,105 plus est. shipping costs of $ 300 to pay for or purchase HWY 63 BACK UP PUMP IS NOT SERCVICEABLE NEEDS TO BE REPLACED. This purchase or expenditure is being made because: HWY 63 BACK UP PUMP IS NOT SERVICEABLE NEEDS TO BE REPLACED. ALTERNATE -WITH A,B, AND D OPTIONS Vendor selected for this purchase: ■ ZIMMER & FRANCESCON INC Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: ZIMMER & FRANCESCON, INC. IS THE ONLY VENDOR THAT CARRIES THIS PUMP IN OUR AREA. 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 Federal/other grants • Sewer Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200-1571 Sanitation (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, MATT HOSFORD 10/14/20 $ 400,000.00 $ 276,715.79 Mzc/ze//e iV eta er (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: � V Irjtnfk, L-'1vh Address: 1 'D- 44ArhArcut/— Phone: Date: 10 f City/State/Zip: v`la 8,-"(oo1 567 / Service Address: 3 I ` "` t. Refund Amount Requested: $ a. a0 **Documentation Included: 1,/-Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: z o f 0 -1 /a --a Signature/Sanitation Department Date Confirmed Refund Amount: $ c34. Confirmed w/Water Works: V.-Yes No Michelle Weidner Approved by Finance Committee on 1029.2020 Finance Signature Date Refund Amount Paid: $ Page 57 of 228 Sept 22, 2020 Steve and Virginia Lynch 312 Hartman Ave. Waterloo, Iowa 50701 City Finance Committee 715 Mulberry St. Waterloo, Iowa 50703 City Finance Committee: When the new yard waste and recycling bin change was made, we turned in the yard waste bin for and also refused the new een awerecycling bin. The city picked up our bin on Dec. 4th, 2019 It was sent to the Waterloo Water Works on Jan. 8th, 2020 We were billed $24 for the two quarters of the services we did not receive. Enclosed are the bills of the two quarters showing we were charged the total of $24. Also enclosed is the corrected bill we received. We contacted the Waterloo Water Works. They responded telling us that we needed to contact you by a letter requesting a refund of $24, Sincerely, Steve and Virginia Lynch Page 58 of 228 WATERLOO WA, E 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 looggorel!Mled,w0,4 Customer Name: Account Number: Service Address; v_ut J-- W 0 R KS RA CY, Lynch Steven & Virginia 114506-SO6294 312 HARTMAN AVE STATEMENT or SERVICES Billing Frequency: Quarterly Billing Date: 3/6/2020 Billing Due Date; 3/27/2020 Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 Waterloo. Water Works Services Water...., ....... , ........... ........ Water Service Exciso TaX .............. Water Work Subtotal $49.02 City of Waterloo- SorViceo Sanitary Sower 67.41 Storm Water Fee-- ....... ...... , 12.00 Garbage 35.25 Yard Waste / Recycle Curbside 12:00 •Yur(114O810 / Recycle -Site Maintenance Fee • 10:50 City of Waterloo Subli9tal $137,16 15 10 W75 , 04W.ZrAlifFL:4% Previous Balance 170,13 Credits/Payments 110,13 CI Deposit Payment 0 00 Balance Forward $0,00 Water Works Subtotal.-- ............ City of Waterloo Subtotal 137.16 Total Current Service Charges 186.10 Total Amount Duo $186.18 Amount Duo After 03/27/2020 $194,82 969 Actual Yard Waste/RecycilIng rate ir creased $3/mo to $4/rrio **Mandatory Yard Waste/Recycling Site Maint Fee $5/ mo prorated effective 1/1/20 on this bill" Questions -call Garbage- Sanitation @291-4455 Page 59 of 228 Water Service Excise \'f\c'k,a,c,oLtki‘,Q, WATERLOO W,61ta WORKS yo, 325 Sycamore Street P.U. Box 27 Waterloo, IA 50704 Customer Name: Account Number: Service Address: Lynch Steven & Virginia 114506-506294 312 HARTMAN AVE STATEMENT OF SERVICES ['Waterloo Water Works Sorvineo Water 42.10 2 53 Tax Water Worka Subtotal $44.63 City of i iatorl oo Services Sanitary Sower- 62.37 Storm Water Fee 12.00 Garbage 35,25 Yard Waste / Rocycla Curbside 12,00 Yard Waste / Rooycle Site Maintenance Fo©.* i5.00 City of waterloo Subtotal $136.62 2/25/2020 15 10.. 5 0 1 Billing Frequency: Billing Date: Billing Due Date: Phone: (319) 232-6280 www. waterloow6ter.org Statement 1 of 1 Quarterly 6/8/2020 6/29/2020 Previous Balance 186,18 Credits/Paynonts 186.18 CR Deposit Payment 0 00 Bat anco Forward $0.00 Water Works Subtotal 44,63 City of Waterloo Subtotal .....................1t�6,62 Total Current Service Chargee............ .....181,25 Total Amount Duo $181.25 Amount Duo After 06/29/2020 $189.44 Ak1 984 Actual 011649)1. PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN REGARDS TO THE YARD WASTE./RECYCLE SITE MAINTENANCE FEE Page 60 of 228 WATERLOO WAIEJLWOR 325 Sycamore Street P,O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number; Service Address: Lynch Steven & Virginia 114506-506294 312 HARTMAN AVE Waterloo Water WorkS Services Water Water Service Excise Tax Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Yard Waste / Recycle Site Maintenance Fee City of Waterloo Subtotal 05/28/2020 20 g16 12 40 40 08/24/2020 A, C11 15 yUA) STATEMENT OF SERVICES $44.17 $2.66 $46.83 $69.01 $12.75 35,25 $15,00 $132. ,01. Billing Frequency: Billing Date: Billing Due Date: Quarterly 09/08/2020 09/29/2020 '$11,41.aillAPOICA• MOW Previous Balance Credits/Payments Water Works Subtotal Phone: (319) 232-6280 www.waterloowater.org Pate 1 of 1. City of Waterloo Subtotal Total Current Service Charges Total Amount Due An ount Doe After 09/29/2020 Actual $181.25 -$181.25 $46•83 $232.01 $178,84 $178,84 .$186.90 13-14-540001,000, Actual IF You HAVE NOT COMPLETED YOUR CENSUS FORM PLEASE VI.51 2020CENSLUS.GOV AS SOON AS POSSIBLE Please detach and return the bottom portion with your payment. See reverse side for' additional Information WATERLOO WAT P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 i5 ` °s,. Lynch Steven & Virginia 3:12 Hartman Ave Waterloo, IA 507012333 Please check box if contact information requires updating and Indicate the change(s) en reverse side 114506-506294 Account Number: Total AtytoUnt Du Amount Due After (3111inl; PPSfPaf;e . Amount Enclosed: WATERLOO WATER WORKS P.0. BOX 27 WATERLOO, IOWA 50704 Page 61 of 228 Name: Address: PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE 314vntrcL 13,(Aker Vukis ANR. City/State/Zip: IAJ (+ SD'1 0 ) Service Address: 307 s[tA- - Date: / 0 ✓ Phone: Refund Amount Requested: $ 51 ' 13s7 **Documentation Included: Yes No ** All request for refunds required proof of payment before refunds are processed. Comments: 'AL re-1U eA WkS4(,AA-IL (At ! l cto-Lat),( -kik_ Two( ca,rt AAr-e_ -talon 9 0 - 2-D Signature/Sanitation Department Date 4j Confirmed Refund Amount: $ 11. Michelle Weidner Confirmed w/Water Works: VYes No Approved by Finance Committee on 10. 19.2020 Finance Signature Date Refund Amount Paid: $ Page 49 of 228 To: City of Waterloo From: Shara Baker 307 Kingsley Ave. Waterloo, la. 50701 f live at 307 Kingsley Ave., Waterloo. I recently found out that since July 2019, I may have been charged double for my garbage containers. In July 2019, I reported my container missing. We looked for a while and then it was replaced. Since that time i believe that I have been charged for two. I am requesting that I be reimbursed for the being over charged during that time. Attached are copies of my bills since that time. Thank you. O11/41(..b Shara A. Baker Page 50 of 228 WATERLOO WA. WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater,org Pave 1 of 1 ACCOUNT -SUMMARY Customer Name: Account Number: Service Address: Shara Baker 113453-502418 307 KINGSLEY AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/28/2020 06/18/2020 Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer $57.33 Storm Water Fee $12,00 Garbage $35.25 Yard Waste / Recycle Curbside $24.00' Yard Waste / Recycle Site Maintenance Fee $15.00 City of Waterloo Subtotal $143.58 $37, 96 $2.28 $9.01 $49.25 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $192.47 -$201.48 -$9.01 Water Works Subtotal $49.25 City of Waterloo Subtotal $143.58 Total Current Service Charges $192.83 Total Amount Due $183.82 Amount Due After 06/18/2020 $192.15 Previous Read Date Current Read Date Previous Read . Previous Read Type. Current Read Current Read Type Usage (CCF) 02/21/2020 05/22/2020 1,222 Actual 1,235 Actual 13 SPECIAL MESSAGES PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WATE_R_WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shara Baker 307 Kingsley Ave Waterloo, IA 50701 0 Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 113453-502418 TotalAmountgue° - ' 1-.3 F32 Amount Due After : 192.15 Buhing'Due N10- i_ 05/18/2020 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 51 of 228 WATERLOO WA 1NORKS 325 Sycamore Street P,0, Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater,org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shara Baker 113453-502418 307 KINGSLEY AVE Billing Frequency: Billing Date: Billing Due Date: Quarterly 02/28/2020 03/20/2020 Waterloo Water Works Services Water . Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer . $64.89 Storm Water Fee $12,00 Garbage $35,25 Yard Waste / Recycle Curbside $24,00° 4 Yard Waste / Recycle Site Maintenance Fee $9,50 City of Waterloo Subtotal $145.64 $44.17 $2.66 $8,03 $54.86 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $162,96 -$170.99 -$8.03 Water Works Subtotal , , . $54.86 City of Waterloo Subtotal $145,64 Total Current Service Charges $200.50 Total Amount Due $192.47 Amount Due After 03/20/2020 $201.48 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read:. Current Read Type Usage (CCF) 11/21/2019 02/21/2020 1,206 Actual 20 LL Id U 12 m — — — NM ME NM- -_ _-� �. NM ME— —. — — 10 y9 \ ryp ,10 M1O �O ry0 tid ,I4 1,222 Actual 16 Yard Waste/Recycling rate increased $3/mo to $4/mo **Mandatory Yard Waste/Recycling Site Maint Fee $5/ mo prorated effective 1/1/20 on this bill** Questions -call Garbage- Sanitation @291-4455 Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO:' WATERLC70 VV 9RKS P.O. Box 27 Waterloo, Iowa 50704 Phone:(319)232-6280 ADDRESSEE Shara Baker 307 Kingsley Ave Waterloo, IA 50701 ❑ Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 113453-502418 Total Amount Due - = 192 4.7 Amount Due After : 201,48 Billing Due Date: 03/20/2020 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 52 of 228 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater,org Pave 1of1 ACCOUNT SUMMARY.: Customer Name: Account Number: Service Address: Shara Baker 113453-502418 307 KINGSLEY AVE Waterloo Water Works Services Water $39.25 Water Service Excise Tax $2.36 Late Penalty $8,52 Water Works Subtotal $50,13 City of Waterloo Services Sanitary Sewer $59.85 Storm Water Fee $12,00 Garbage $31.50 Yard Waste / Recycle Curbside $18.00 —q City of Waterloo Subtotal $121.35 Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/27/2019 12/20/2019 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $173.35 -$181,87 -$8,52 Water Works Subtotal $50.13 City of Waterloo Subtotal $121,35 Total Current Service Charges $171,48 Total Amount Due $162,96 Amount Due After 12/20/2019 $170.99 Previous Read Date C rrent Read Date Previous Read .Previous Read Type Current Read Current Read Type Usage (CCF) 08/21/2019 11/21/2019 1,192 Actual 1,206 Actual 14 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: WATERLO RKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shara Baker 307 Kingsley Ave Waterloo, IA 50701 ❑ Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 113453-502418 Total_Arrtount==Duet ,` 96 Amount Due After : 170.99 Billing Ow Ditq _, 12/20/2019 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 53 of 228 WATERLOO WA WORI<S 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319} 232-6280 www.waterloowater.org Pace 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Shara Baker 113453-502418 307 KINGSLEY AVE Waterloo Water Works Services Water $29.10 Water Service Excise Tax $3.09 Late Penalty $7.79 Water Works Subtotal $39,98 City of Waterloo Services Sanitary Sewer $57.33 Storm Water Fee $12.00 Garbage $31.50 Yard Waste / Recycle Curbside $18.00-' City of Waterloo Subtotal $118,83 Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/29/2019 09/20/2019 CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward Water Works Subtotal $158.26 -$166.05 -$7.79 $39.98 City of Waterloo Subtotal $118.83 Total Current Service Charges $158.81 Total Amount Due $151.02 Amount Due After 09/20/2019 $159.54 Previous Read Date Current Read Date Previous Read Previous Read Type - Current Read Current Read Type Usage (CCF) 05/16/2019 08/21/2019 1,172 Actual 10 1 u 12 .? 10 a qrn fi N 4 p5 Oa 41, Oh ti0 1,192 Actual 20 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: - WATERLOO WATT WORKS P.Q. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Shara Baker 307 Kingsley Ave Waterloo, IA 50701 ❑ Please check box If contact Information requires updating and Indicate the change(s) on reverse side Account Number: 113453-502418 TotalAmotint D0 _ 51 fl Amount Due After : 159.54 BlllingDue Rate. 09/20/2019 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 54 of 228 WATERLOO WA E. WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: Account Number: Service Address: Shara Baker 113453-502418 307 KINGSLEY AVE ACCOUNT SUMMARY Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/31/2019 06/21/2019 Waterloo Water Works Services Water $29.10 Water Service Excise Tax $2.60 Late Penalty $7.48 Water Works Subtotal $39.18 City of Waterloo Services Sanitary Sewer $54.60 Storm Water Fee $8.25 Garbage $31.50 Yard Waste / Recycle Curbside $18,00 City of Waterloo Subtotal $112,35 ..CHARGE SUMMARY Previous Balance Credits/Payments Balance Forward $151.81 -$159.29 -$7,48 Water Works Subtotal $39.18 City of Waterloo Subtotal $112,35 Total Current Service Charges $151,53 Total Amount Due $144.05 Amount Due After 06/21/2019 $151.84 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) - 02/21/2019 05/16/2019 1,156 Actual 1,172 Actual 16 SPECIAL MESSAGES. Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO WATERLOO WATERWORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: {319)232.6280 ADDRESSEE ............:. Shara Baker 307 Kingsley Ave Waterloo, IA 50701 ❑ Please check box if contact information requires updating and indicate the changels) on reverse side Account Number: 113453-502418 Amount Due After : 151.84 !WIC D:ue Date .. .. _.... - , . _ , O6/21f201. 9 Amount Enclosed: ;REMIT TO:' WATERLOO WATER WORKS P,O. BOX 27 WATERLOO, IOWA 50704 Page 55 of 228 CITY OF WATERLOO Council Communication Refund request in the amount of $24 for yard waste/recycling curbside fees billed in error on a property located at 312 Hartman Avenue. City Council Meeting: 10/19/2020 Prepared: 10/9/2020 REVIEWERS: Department Public Works Department Finance Clerk Office ATTACHMENTS: Description ❑ refund SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Reviewer Greco, Sandie Weidner, Michelle Even, LeAnn Action Approved Approved Approved Type Backup Material Date 10/14/2020 - 12:52 PM 10/14/2020 - 2:50 PM 10/14/2020 - 3:33 PM Refund request in the amount of $24 for yard waste/recycling curbside fees billed in error on a property located at 312 Hartman Avenue. Submitted By: Kelley Felchle, City Clerk Refund recommended. Refund request for yard waste cart fees in the amount of $24 for a property at 312 Hartman Avenue. They paid for two quarters when they did not have a yard waste cart. Page 56 of 228