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Finance Committee
Approval Date 1/4/2021
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
$ 45,828.00 plus est. shipping costs of $ to pay for or purchase
4 - 10 ft. Standard Steel Boxes for Signal Axle Trucks
This purchase or expenditure is being made because:
Current 2009 boxes have rusted beyond repair. To replace on trucks 901, 902, B08, B06
Bid through Sourcewell.
Vendor selected for this purchase: Henderson Products, Inc.
Q Bids or written quotes were taken on this purchase, as follows:
Henderson Products, Inc. (thru Sourcewell) Manchester, IA $45,828.00
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
❑ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation
❑- Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
419-19-7100-2117
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 570,000.00
and the current available balance is $ 164,780.70
Respectfully submitted,
Sandie Greco 12/28/2020 Michelle Weidner 1/4/2021
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)