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Approved Documents - 2/15/2021
City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Central Garage Department to expend $ 6,137.30 plus est. shipping costs of $250.00 to pay for or purchase 1 - 1 OK Hydraulic Generator System for Fire Truck #311 This purchase or expenditure is being made because: Toe replace Generator System that was damaged by a fire (specific vendor to replace with same model) Vendor selected for this purchase: Reliant Fire Apparatus 0■ Bids or written quotes were taken on this purchase, as follows: Reliant Fire Apparatus Singer, Wl $6,137.30 ❑ 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 EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-18-1405-1571 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 80,000.00 and the current available balance is $ 37,972.52 Respectfully submitted, Sandie Greco 1/27/2021 Whelle 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Central Garage Department to expend $ 2,687.00 plus est. shipping costs of $ to pay for or purchase 1 - TXV92 Pump for Snow Control Truck #190901 This purchase or expenditure is being made because: To replace pump in snow control truck (only vendor to have pump available in stock) Vendor selected for this purchase: Force America Distributing, LLC 0■ Bids or written quotes were taken on this purchase, as follows: Force America Distributing, LLC Fort Dodge, IA $2,687.00 ❑ 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: F■ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation EIBonds ❑ 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 $ 445,500.00 and the current available balance is $ 100,766.36 Respectfully submitted, Sandie Greco 1/29/2021 W111-Ile 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Fire Department to expend $ 31,323.98 plus est. shipping costs of $ 400.00 to pay for or purchase Holmatro Rescue Equipment for rescue truck. This purchase or expenditure is being made because: We ordered a new rescue truck and this new equipment will replace our existing rescue equipment that is in need of replacement. Vendor selected for this purchase: MacQueen Emergency F■ Bids or written quotes were taken on this purchase, as follows: MacQueen-$31,323.98 HGACBuy-$35,677.00 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: 420-12-1400-2117 Engine#301 Replacement (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 750,000 and the current available balance is $ 157,816 Respectfully submitted, Pat Treloar 1-28-2021 Michelle Weidner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ 9,380 plus est. shipping costs of $ to pay for or purchase Construction and design services with Modus Engineering. This purchase or expenditure is being made because: To repair damage caused by electrical fire at Riverfront Stadium on January 5, 2021 Vendor selected for this purchase: Modus Engineering, Waterloo Iowa Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Bids are not required for engineering services per Iowa Code. City strategy 4.5 Quality of Place 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: 418-37-4400-2170 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 12,500.00 and the current available balance is $ 9,218.57 Respectfully submitted, Paul Huting 2/1/2020 Michelle Wel Ae; 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ 5,991.00 plus est. shipping costs of $ to pay for or purchase Optimist Baseball and Softball Shirts for participants This purchase or expenditure is being made because: 2021 Optimist Baseball and Softball League Vendor selected for this purchase: Creative Impact ❑ Bids or written quotes were taken on this purchase, as follows: Creative Impact $5,991.00 Advantage $6,144.00 BSN Sports $6,552.00 ❑ 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: F■ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010 37 4200 1566 Optimst Equipment (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 32,000.00 and the current available balance is $ 19,649.20 Respectfully submitted, Paul Huting 1/27/2021 Michelle bl/eidn v 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ 5,970.25 plus est. shipping costs of $ 268.00 to pay for or purchase Optimist Baseball & Softball Hats for participants This purchase or expenditure is being made because: 2021 Optimist Baseball and Softball Program Vendor selected for this purchase: BSN Sports 0■ Bids or written quotes were taken on this purchase, as follows: BSN Sports $5,970.25 AD Star(Did not submit bid) Creative Impact (Did not submit bid) ❑ 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: F■ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 01037 4200 1566 Optimist Equipment (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 32,000.00 and the current available balance is $ 25,887.45 Respectfully submitted, Paul Huting 01/27/2021 Michelle Weidner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ 40,829.25 plus est. shipping costs of $ to pay for or purchase One John Deere 2750 Precision Cut Triplex Greensmower. This purchase or expenditure is being made because: to replace an existing unit. Vendor selected for this purchase: Van-Wall Equipment Inc. Bids or written quotes were taken on this purchase, as follows: Q Bids or quotes were not taken on this purchase because: This unit is being sold pursant to Iowa State DOT Bid # MA17288. This DOT State of Iowa Bid is 25% off John Deere list price. Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: ElGeneral Fund El Road Use Tax El Sewer F—] Sanitation Bonds El Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 419-37-4120 2113 420-37-4120 2113 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 419 75,000 420 60,000 and the current available balance is $ 419 426.81 420 60,000 Respectfully submitted, Paul Huting 1/29/2021 Mich lle Wekdner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ 2,899.20 plus est. shipping costs of $ 250.00 to pay for or purchase Optimist Baseball & Softball Balls This purchase or expenditure is being made because: 2021 Optimist Baseball & Softball Program Vendor selected for this purchase: BSN Q Bids or written quotes were taken on this purchase, as follows: BSN Sports $2,899.20 AD Star(Did not submit bid) Creative Impact (Did not submit bid) 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: FEII General Fund EI Road Use Tax EI Sewer F—] Sanitation EIBonds EI Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 010 37 4200 1566 Optimist Equipment (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 32,000.00 and the current available balance is $ 29,036.85 Respectfully submitted, Paul Huting 1/27/2021 Michelle bl/eidner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ NTE 20,000 plus est. shipping costs of $ to pay for or purchase 33 trees to be supplied and planted in downtown Waterloo locations. This purchase or expenditure is being made because: to beautify the downtown Waterloo area. Vendor selected for this purchase: Matthias Landscaping Waterloo IA 0■ Bids or written quotes were taken on this purchase, as follows: Matthias Landscaping $16,995 plus $99/cubic yard of backfill soil Jordan's Nursery $19,405 plus $25/cubic yard of backfill soil backfill will be used on an as needed basis. ❑ 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: 418-37-4100-2166 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 300,000.00 and the current available balance is $ 46,886.25 Respectfully submitted, Michelle WerdneY 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 LEISURE SERVICES Department to expend $ 9,898.50 plus est. shipping costs of $ to pay for or purchase Emergency repair to ice system. This purchase or expenditure is being made because: repair was needed to keep the ice system operational. supports the city's strategic Plan,4.5-"Maintain City facilities that support quality of place". Vendor selected for this purchase: All Temp Refrigeration Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: All Temp Refrigeration is the only Certified Vilter Ammonia Compessor ice service business in the area. They have the proper equipment and maintenance records for Young Arena dating back to construction 25 years ago, including emergency response calls when needed. 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: 420-37-4500 2110 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 15,000.00 and the current available balance is $ 15,000.00 Respectfully submitted, Paul Huting 02/1/2021 Michelle Weidner 2/15/2021 (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 2/15/2021 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 Leisure Services Department to expend $ 7,105.00 plus est. shipping costs of $ to pay for or purchase TV advertisement package and commercial production for sports plex advertising This purchase or expenditure is being made because: Marketing of the sportsplex to increase membership and increase events. Strategy 4.1 promote City of Waterloo, services and programs. Vendor selected for this purchase: OnMedia Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: OnMedia (Mediacom) is the only regular TV cable provider in the Waterloo market. 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 EI Bonds ❑ Federal/other grants ❑E Other(specify) hotel motel grant This expenditure is to be coded to the following budget line-item: 010-37-4105 1351 37HMT.SPXL19 and SPLX next (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 11,580.00 6,250.00 and the current available balance is $ 855.00 6,250.00 Respectfully submitted, Paul Huting 2/2/2021 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Leisure Services Department to expend $ me 24,500 plus est. shipping costs of $ to pay for or purchase Approximately 225 trees as part of the Plant Waterloo program generously funded by the Young Family foundation. Residents may purchase trees at a reduced rate of$20 per tree. This purchase or expenditure is being made because: To encourage Waterloo citizens to plant trees after losing so many ash trees in the community. Vendor selected for this purchase: multiple F■ Bids or written quotes were taken on this purchase, as follows: Bids were received from Jordan's Nursery &Wood Duck Trees Farms. Trees will be purchased from each vendor listed based on meeting specs of the bid and lowest prices for each species, and species availability. ❑ 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 EI Bonds ❑ Federal/other grants ❑E Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4105 1536 37GFT.TREE (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 24,500.00 and the current available balance is $ 24,500.00 Respectfully submitted, Paul Huting 2/3/2021 Michelle Weidnev 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Mayor Department to expend $ 4,406.87 plus est. shipping costs of $ 0 to pay for or purchase FY21 Metro Coalition dues. This purchase or expenditure is being made because: The Metro Coalition represents the largest cities in Iowa at the state legislature and provides a voice for the large urban areas. Vendor selected for this purchase: Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: N/A- dues are based on population at 6 cents per capita. Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: F■ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation ElBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-01-8200-1391 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 13,560.00 and the current available balance is $ 4406.00 Respectfully submitted, Quentin Hart 2-9-21 Michelle Weidner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 MIS Department to expend $ 3854.50 plus est. shipping costs of $ to pay for or purchase Falcon Endpoint Anti-Virus Licensing (by Crowdstrike) This purchase or expenditure is being made because: Anti-virus licensing is due for the year and we are switching from McAfee to Falcon Endpoint AV by Crowdstrke. Saving about$2,000 over last year. Vendor selected for this purchase: CDW-G Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Worked directly with vendor and Crowdstirke was chosen after several other vendors were evaluated. 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: 420-01-8225-2106 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 300,000 and the current available balance is $ 205,837.47 Respectfully submitted, Chris Youngblut 2/3/2021 Michelle VelAev 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 MIS Department to expend $ 43,776.00 plus est. shipping costs of $ to pay for or purchase Dell networking switches for core infrastruture This purchase or expenditure is being made because: Our core network switches are reaching end of life for support and are starting to fail on a more regular basis. These switches will replace that infrastructure with increased speeds. Vendor selected for this purchase: Davenport Group F■ Bids or written quotes were taken on this purchase, as follows: Davenport Group - $43,776.00 Dell Marketing - $55,241.77 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: 420--01-8225-2106 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 300,000.00 and the current available balance is $ 201,982.97 Respectfully submitted, Chris Youngblut 2/3/2021 Whelle Vetdner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Planning Department to expend $ 7,600.00 plus est. shipping costs of $ 0.00 to pay for or purchase This purchase or expenditure is being made because: Writing of legal descriptions for the acquisition of at the Tech Works lot. Vendor selected for this purchase: Claassen Engineering Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: The work is already being worked on with Claassen 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: 426 08 6270 2103 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 40,000.00 and the current available balance is $ 40,000.00 Respectfully submitted, Mzchelle Wetdnev 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Police Department to expend $ 16,643.95 plus est. shipping costs of $ 0 to pay for or purchase Office furniture and cabinets for the Crime Lab 3rd floor remodeling project. This purchase or expenditure is being made because: The office furniture for the 3rd floor remodeling project, moving the crime lab to this office space. Vendor selected for this purchase: Storey Kenworthy Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Storey Kenworthy has the State of Iowa bid for the office furntiture that was bid for this project. 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: 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 $ 30,610.37 Respectfully submitted, Dave Mohlis, Police Captain 1-25-21 Michelle Meidne; 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Sanitation Department to expend $ 34,130.00 plus est. shipping costs of $2,900.00 to pay for or purchase 250 Medium, 250 Large and 200 Yard Waste Carts This purchase or expenditure is being made because: To replenish inventory of trash and yard waste carts. These carts have withstood better than any previous ones. Vendor selected for this purchase: Q Bids or written quotes were taken on this purchase, as follows: Toter Statesville, NC $34,130.00 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: EIGeneral Fund EI Road Use Tax EI Sewer ❑■ Sanitation EI Bonds EI Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5400-1596 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 120,000.00 and the current available balance is $ 74,800.00 Respectfully submitted, Sandie Greco 1/26/2021 Michelle 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 SEWER Department to expend $ 10,294.40 plus est. shipping costs of $ 0 to pay for or purchase REPLACEMENT JWC GRINDER CORE FOR GRINDER PUMP SN : 20658 This purchase or expenditure is being made because: SEWER DEPT NEEDS TO HAVE ONE ON HAND FOR QUICK REPLACEMENT FOR NON INTERUPTED OPERATION OF GRINDER PUMP. Vendor selected for this purchase: ELECTRIC PUMP Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: ELECTRIC PUMP IS THE SOLE PROVIDER . Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑E Sewer ❑ Sanitation ElBonds El Federal/other grants El Other (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 the budgeted amount is $ 400,000.00 and the current available balance is $ 187,671.90 Respectfully submitted, BRIAN BOWMAN 02/03/21 Michelle Weidner^ 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared good ies\form s\Expend itu re Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 19,357.17 plus est. shipping costs of $ to pay for or purchase 70 - Holophane LED Street Light Fixtures This purchase or expenditure is being made because: To replace burnt out HPS (high pressure sodium) lamps and also to complete the downtown area project of replacing all HPS with LED fixtures. Vendor selected for this purchase: Van Meter F■ Bids or written quotes were taken on this purchase, as follows: Van Meter Waterloo, IA $19,357.17 Crescent Electric Waterloo, IA $19,372.50 3E Waterloo, IA $21,077.70 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: 419-17-7105-2129 &420 -17-7105-2129 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 5,000.00 & 20,000.00 and the current available balance is $ 5,000.00 & 20,000.00 Respectfully submitted, Sandie Greco 1/19/2021 Whelle Weed eY 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 13,248.00 plus est. shipping costs of $200.00 to pay for or purchase 720 - 50 Lb. Bags of Reflective Beads This purchase or expenditure is being made because: Used for reflectorizing paint in the annual painting/striping of streets, parking lots, RR crossing and pedestrian crossings. Vendor selected for this purchase: IDOT- State Bid 0■ Bids or written quotes were taken on this purchase, as follows: Potters, Industries LLC Muscatine, IA $13,248.00 ❑ 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 ❑0 Road Use Tax ❑ Sewer F—] Sanitation ElBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 266-17-1720-1581 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 46,500.00 and the current available balance is $ 46,476.30 Respectfully submitted, Sandie Greco 1/26/2021 Michelle Weidner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.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 Traffic Operations Department to expend $ 22,764.00 plus est. shipping costs of $ to pay for or purchase 12 - Mlllerbernd Street Light poles with 8 ft. arm, and hardware This purchase or expenditure is being made because: To replace deteriorated street light poles in the downtown area. Vendor selected for this purchase: Crescent Electric F■ Bids or written quotes were taken on this purchase, as follows: Crescent Electric Waterloo, IA $22,764.00 Van Meter Waterloo, IA $23,220.62 3E Waterloo, IA $23,709.48 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 -17-7105-2129 & 420-17-7105-2129 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 13,500.00 & 180,000.00 and the current available balance is $ 13,500.00 & 180,000.00 Respectfully submitted, Sandie Greco 1/29/2021 Michelle Weldner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 3,020.00 plus est. shipping costs of $50.00 to pay for or purchase 4 - 36" Astro Sign Brackets and 14 - 54" Astro Sign Brackets This purchase or expenditure is being made because: To be used for securing overhead street name signs on mast arms. Vendor selected for this purchase: Traffic Control Corporation 0■ Bids or written quotes were taken on this purchase, as follows: Traffic Control Corporation Ankeny, IA $3,020.00 General Traffic Controls, Inc. Spencer, IA $3,176.52 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 ❑0 Road Use Tax ❑ Sewer F—] Sanitation ElBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 266-17-1720-1576 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 31,400.00 and the current available balance is $ 14,792.05 Respectfully submitted, Sandie Greco 1/27/2021 Michelle Weldor 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 6,875.00 plus est. shipping costs of $ to pay for or purchase 1 each of 250 gallon tote of UC-1516 White Hi-Build and 250 gallon tote of UC-3588 Yellow Hi-Build traffic paint This purchase or expenditure is being made because: Special hi-build paint - pilot program for heavy traffic areas such as downtown streets and San Marnan Dr. corridor Vendor selected for this purchase: 0■ Bids or written quotes were taken on this purchase, as follows: Diamond Vogel Cedar Falls, IA $6,875.00 ❑ 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 ❑0 Road Use Tax ❑ Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 266-17-1720-1581 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 46,500.00 and the current available balance is $ 33,028.30 Respectfully submitted, Sandie Greco 1/27/2021 Michelle 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 22,316.25 plus est. shipping costs of $200.00 to pay for or purchase 4 - 275 gallon totes of White Fast Dry and 7 - 275 gallon totes of Yellow Fast Dry traffic paint This purchase or expenditure is being made because: Annual project of line striping/painting of streets, crosswalks, curbs, arrows, stop bars, islands, parking stalls and RR crossings. Vendor selected for this purchase: Diamond Vogel - IDOT state bid ❑■ Bids or written quotes were taken on this purchase, as follows: Diamond Vogel Orange City, IA $22,316.25 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: EI General Fund 5011 Road Use Tax EI Sewer F—] Sanitation EI Bonds EI Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 266-17-1720-1581 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 46,500.00 and the current available balance is $ 26,153.30 Respectfully submitted, Sandie Greco 1/28/2021 Michelle 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 3,318.85 plus est. shipping costs of $ 150.00 to pay for or purchase Rolls of various Clear Film, Sheeting and Application Tape This purchase or expenditure is being made because: Used to fabricate signs. Vendor selected for this purchase: 3M 0■ Bids or written quotes were taken on this purchase, as follows: 3M St. Paul, Minnesota $3,318.85 Newman Signs Jamestown, North Dakota $5,239.67 Iowa Prison Industries Anamosa, Iowa $5,504.07 ❑ 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: 419-17-7120-2125 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 15,000.00 and the current available balance is $ 5,524.05 Respectfully submitted, Sandie Greco 1/20/2021 Michelle WeIdne) 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Department to expend $ 12,000.00 plus est. shipping costs of $2,956.00 to pay for or purchase 2 - Demo State of the Art- Smart Poles -to be installed on the Lincoln Park side of Franklin St.. This amended pre-auth is needed because shipping costs were higher than expected. This purchase or expenditure is being made because: These poles will detect- Crash Detection, CCTV Cameras, Surrounding Temperature, etc., along with Street Light Control (Dim or brighten as needed) and other detections. Vendor selected for this purchase: Comptek Q Bids or written quotes were taken on this purchase, as follows: Comptek $12,000.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): 9/28/2020 -Approved $12,000 plus $900.00 for shipping Please check the following box(es)as appropriate to describe the funding for this expense: EIGeneral Fund EI Road Use Tax EI Sewer F—] Sanitation Bonds EI Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 420-17-7161-2129 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 180,000.00 and the current available balance is $ 170,736.00 Respectfully submitted, Sandie Greco 2/3/2021 Michelle 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2/15/2021 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 Traffic Operations Department to expend $ 3,623.00 plus est. shipping costs of $ 125.00 to pay for or purchase 1 - Valmont 40 ft. Black Street Light Pole with LED Fixture This purchase or expenditure is being made because: To replace damaged pole on Highway 63 (Logan Ave.) due to a knockdown. Vendor selected for this purchase: Crescent Electric 0■ Bids or written quotes were taken on this purchase, as follows: Crescent Electric Supply Waterloo, IA $3,623.00 Van Meter Waterloo, IA $3,683.13 ❑ 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: 419-17-7105-2129 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 60,000.00 and the current available balance is $ 56,500.00 Respectfully submitted, Sandie Greco 2/9/2021 mzche"�& wel Aev 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 2/15/2021 Project Name (from page one) 20 Lead Hazard Control Program Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5853 Project No. 32LED20 Subproject No. Various (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 3,384,678.00 3,384,678.00 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 - 3905 TIF Revenue - TOTALS $ 3,384,678.00 $ - $ - $ - $ 3,384,678.00 EXPENDITURES: 1111 Salaries- Regular 421,926.96 $ 421,926.96 1113 Longevity 3,000.00 3,000.00 1121 FICA 41,173.70 41,173.70 1122 IPERS 35,000.00 35,000.00 1123 Life& Disability 6,000.00 6,000.00 1131 Health Insurance 150,000.00 150,000.00 1303 Meeting Workshop 1,250.00 1,250.00 1315 Educational Training 48,960.00 48,960.00 1327 Residential Rehabilitation 2,371,261.00 2,371,261.00 1343 Postage& Mailing 2,200.00 2,200.00 1346 Travel- Professional Trainin 22,880.00 22,880.00 1351 Advertising Expense 1,901.34 1,901.34 1378 Other Equipment 13,700.00 13,700.00 1390 Other Contractual Services 260,015.00 260,015.00 1391 Dues & Memberships 3,480.00 3,480.00 1561 Office Supplies& Minor Eqt 1,930.00 1,930.00 TOTALS $ 3,384,678.00 $ - $ - $ - $ 3,384,678.00 Rudy Jones 2/2/2021 2/15/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\20_Lead_Hazard_Control_Grant_Budget_Worksheet(2).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name 20 Lead Hazard Control Grant City Contract No. To be assigned by the Finance Dept. Project Manager Angie Fordyce Project No. 32LED20 Project Budget Total $ 3,384,678.00 Subproject No. Various 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# 14.905 % Paid by federal grant 100.00% Grant Name Lead Hazard Control Grant Agreement Number IA-LHB-0756-20 B. State Grant Yes 0 No 0 % Paid by state grant Grant Name Grant Agreement Number C. City Match Source of Funding % Paid by City D. Other Entities Yes = No % Paid by other entity Name Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) Q ❑ Yes No 3. Does the project include the purchase of right of way or other real property? El ❑X If yes, will real property purchases be reimbursable under the grant? ❑ ❑ If yes, have you attached authorization to purchase real property to this document? El El 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees El FX B. Publication, or printing costs ❑ FX C. Others, list El FX 5. Does this project cover any regular full-time salaries or benefits? ❑ FX If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Funding for Lead Hazard Control and Healthy Homes Page 2 must be attached and signed. K:\shared good ies\forms\20_Lead_Hazard_Control_Grant_Budget_Worksheet(2).xls\Page 1 All Projects (Mar 2010) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY Finance Committee approval required? YES ® NO If so,date approved: 2/15/2021 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 40,000.00 010 11 1160 1512 TRI CO FORF 11TRI.TRIF 40,000.00 TOTAL $40,000.00 TOTAL $40,000.00 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. Dave Mohlis, Police Captain 2/2/2021 Prior Committee Actions(Dates): Michelle 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Waterloo.26804.1.Budget_Amendment_Tri_County_2-15-21.xls(Apr 2003) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 2/15/2021 Project Name (from page one) SportsPlex Marketing FY2021 Department No. project will be budgeted under 37 To be assigned by the Finance Dept. Activity No. project will be budgeted under 4105 Project No. 37HMT Subproject No. SPLX21 (Each column should only include amounts by fund) Fund: _010 Fund: Fund: Fund: Total REVENUES: 010-37-4105 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 Discretionary 6,250.00 6,250.00 TOTALS $ 6,250.00 $ - $ - $ - $ 6,250.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1351 Advertising 6,250.00 6,250.00 TOTALS $ 6,250.00 $ - $ - $ - $ 6,250.00 Paul Huting 2/2/2021 Michelle Wezdxe; 2/15/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Project_Budget_HMT_s ports Plex.xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name SportsPlex Marketing FY2021 City Contract No. To be assigned by the Finance Dept. Project Manager Mark Gallagher Project No. 37HMT Project Budget Total $ 6,250.00 Subproject No. SPLX21 1. How will this project be funded? A. Federal Grant Yes No 0 CFDA# % Paid by federal grant Grant Name Grant Agreement Number B. State Grant Yes 0 No 0 % Paid by state grant Grant Name Reap Grant Grant Agreement Number C. City Match Source of Funding % Paid by City D. Other Entities Yes 0 No 0 % Paid by other entity 100.00% Name Hotel Motel Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) ❑ ❑ Awarded in 1/19/2021 Yes No 3. Does the project include the purchase of right of way or other real property? ❑ FX If yes, will real property purchases be reimbursable under the grant? El ❑ 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 ❑ FX B. Publication, or printing costs ❑ FX C. Others, list ❑ FX 5. Does this project cover any regular full-time salaries or benefits? ❑ FX If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) the CedarValley SportsPlex was awarded hotel motel funds to be used for marketing the sports facility. This will allow us to market to both potential members as well as event organizers. Page 2 must be attached and signed. K:\shared goodies\forms\Project_Budget_HMT_SportsPlex.xls\Page 1 All Projects (Mar 2010) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY Finance Committee approval required? YES ® NO If so,date approved L/15/2021 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 Leisure Services 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 37 4105 3712 sale of trees 37GFT.TREE 4,500.00 010 37 4105 1536 trees 37GFT.TREE 4,500.00 TOTAL $4,500.00 TOTAL $4,500.00 This amendment is being requested because: to budget for trees to be sold in the Plant Waterloo! Tree program. Waterloo citizens may purchase 1 or 2 trees for$20 each, program also funded by Young Family Foundation donation. Paul Huting 2/3/2021 Prior Committee Actions(Dates): Michelle We«lner 2/15/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared good ies\forms\budget_amend_Plant_Waterloo.xls(Apr 2003) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Methamphetamine Hotspots- FY21 City Contract No. #19-CAMP-16 To be assigned by the Finance Dept. Project Manager Chief Fitzgerald Project No. 11 GRT Project Budget Total $ 20,000.00 Subproject No. HOTS21 1. How will this project be funded? A. Federal Grant Yes 0 No CFDA# 16.71 % Paid by federal grant 100.00% Grant Name Grant Agreement Number #19-CAMP-16 B. State Grant Yes = No 0 % Paid by state grant Grant Name Grant Agreement Number C. City Match Source of Funding None % Paid by City D. Other Entities Yes = No % Paid by other entity Name Done None 2. Attach copies of any grant agreements that will fund the project (REQUIRED) Q ❑ Yes No 3. Does the project include the purchase of right of way or other real property? E-1 FX If yes, will real property purchases be reimbursable under the grant? ❑ FX If yes, have you attached authorization to purchase real property to this document? ❑ FX 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees ❑ FR B. Publication, or printing costs ❑ FR C. Others, list ❑ FR 5. Does this project cover any regular full-time salaries or benefits? ❑ F If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Grant funds will cover Meth related overtime through the WPD's Tri-County Drug Task Force Activities Page 2 must be attached and signed. K:\shared good ies\forms\Waterloo.26912.1.Meth_HotSpots_Grant#19_FY2021_Project_Budget_Worksheet.As\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 2/15/2021 Project Name (from page one) Methamphetamine Hotspots- FY21 Department No. project will be budgeted under 11 To be assigned by the Finance Dept. Activity No. project will be budgeted under 01011 1150 Project No. 11 GRT 01011 1160 Subproject No. HOTS21 (Each column should only include amounts by fund) Fund: 1150 Fund: 1160 Fund: Fund: Total 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 - 3873 Reimburse for Services - 3373 Fed Funds Passed Thru IA 15,000.00 5,000.00 20,000.00 TOTALS $ 15,000.00 $ 5,000.00 $ - $ - $ 20,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1114 Overtime 15,000.00 15,000.00 1302 Outside Agencies 5,000.00 5,000.00 TOTALS $ 15,000.00 $ 5,000.00 $ - $ - $ 20,000.00 Dave Mohlis, Police Captain 2/3/2021 Mchelle Weidner 2/15/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Waterloo.26912.1.Meth_HotSpots_Grant#19_FY2021_Project_Budget_Worksheet.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 N NO If so,date approved: 2/15/2021 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 Library 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 33 3160 3000 cash on hand 33GRT INFR 25,800.00 010 33 3160 1319 other pro services 33GFT INFR 25,800.00 TOTAL $25,800.00 TOTAL $25,800.00 This amendment is being requested because: to pay LibraryMarket for development of new library website Prior Committee Actions(Dates): �► l(L �k o I Michelle Weidner 2/15/2021 (Signature Dept.Head r Designee) Date (Signature Finance Dept.Review) Date Date Posted(Finance Dept.) PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: �a� NSC! Hate: I — C? -- 1 Address: �� h� P4• Phone: Ta City/State/Zip: y"��e�C�C �d-7 a Service Address: Refund Amount Requested: $ ' �' **Documentation Included: V yes No ** All request for refunds required proof of payment before refunds are processed. Comments: ReS �c.tn� qrer- WL plckeco. up 0-art an s a Signature/Sanitation Department Date Confirmed Refund Amount: $ 3�' Confirmed w/Water Works: ✓ Yes No Michelle melAer 2/15/2021 Finance Signature Date Refund Amount Paid: $ $36.00 i n ,, _� ,dam. yi7cr•r.�Q2.� ..� y-�ir_x.� �1©,,-1�-+ rib-re,1�G')f<b�.p� ', rX Q ✓LY-44� Vic«-L 4� 'Nue Mrs. Jan Mcleod 1042 Colby Rd. WATERLOO TEtti*1_OO 1Ae ,,,0,r, . Waterloo, IA 50701 coo 03 111111111 dill , WATERL© O &LOT 66&3WORKS Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES III Name: Jan Mc Leod Billing Frequency: Quarterly ccount Number: 110254-541175 Billing Date: 05/21/2020 erVlte Address: 1042 COLBY RD Billing Due Date: 06/12/2020 Waterloo Water Works Services 10 Previous Balance , 1 0 1 4 0 1 1 $166.89 Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $37.13 Credits/Payments . . . . . . . . . . . . . . . . . -$166.89 . . . . . . . . . . . . Water Service Excise Tax . . . . . . . . . . . $2.23 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $39.36 Water Works Subtotal . . . . . . , . . . . . . . . . . . . . . . . . . . . $39.36 City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $127.04 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $47.25 Total Current Service Charges $166.40 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00 TotalAmountDue . . . . . . . . $166.40 Yard Waste / Recycle Site Maintenance Fee 1111 . . . $15.00 Amount Due After 06/12/2020 . . . . . . . . . . . . . . 1111 . $173.86 Yard Waste / Recycle Curbside . . . . . . . . . . . . . . . . . . $ 12.00 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40. 79 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $127.04 eg 02/07/2020 05/07/2020 1,226 Actual 1,232 Actual 6 6 SPECIAL MESSAGES E.u 4 PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN 0 REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE A ' IIIIIIII 0 m a 4) a Nt et rp Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE.TO; , Account Number: 110254-541175 WATERLOO WATER WORI<5 Total Amount Due: 166:40 IIIIIIlll -"tea Amount Due After : 173.86 P.O. Box 27 Billing Due Date: - 06/12/2020 Waterloo, Iowa 50704 Phone: (319) 232-6280 Amount Enclosed : ADDRESSEE: Jan Mc Leod 1042 Colby Rd Waterloo, IA 50701 WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 rl Please check box If contact Information requires updating and Indicate the change(s) on reverse side WATERLOO WATER WORKS Phone: (319) 232-6250 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES - 77§WNT SU ustomer Name: Jan Mc Leod Billing Frequency: quarterly ccount Number: 110254-541175 Billing Date: 11/23/2020 ervice Address: 1042 COLBY RD Billing Due Date: 12/16/2020 Waterloo Water Works Services CHARGE SUMMARY Water $37Previous Balance . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . $159.36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Credits/Payments,, -$159.36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water Service Excise Tax . . . . . . . . . . . . . . . . . . . 1111 $2.23 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $39.36 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . , $39.36 City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . . 1 $120.00 Sanitary Sewer . . . 1 1 . 1 1 1 1 1 . . 114a . . . . . . . . . . . . . . $50.25 Total Current Service Charges . . . . . . . . . . . . . . . . . . . I $159.36 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.75 Total Amount Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $159.36 Yard Waste / Recycle Site Maintenance Fee . 1 9 0 0 . . $15.00 Amount Due After 12/16/2020 . . . . . . . . , . . 141 1 . . . . $167,22 Yard Waste / Recycle Curbside . . . . . . . . . . . . . . . . . . $12.00 106Garbage , . . . . . . . . . . . . . . . . . . . . . $30.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $120.00 08/06/2020 11/06/2020 10238 Actual 1,245 Actual 7 5 SPECIAL MESSAGES " LOGAN AVENUE HY-VEE IS NOW ABLE TO TAKE PAYMENTS CURRENT z BILLS do o° & d' oa CPO' re re re *10 Please detach and return the bottom portion with your payment. See reverse side for additional information 'MAKE CHECKS PAYABLE • Account Number: 110254-541175 WATERLOO_ W_ TE R W O R KS Total Amount Due; 159436 Amount Due After : 167.22 P.O. BoxBilling Due Date: 12/16/2F20' 2 16 202 Waterloo, Iowaa 0 50704 / - / Phone: (319) 232-6280 Amount Enclosed: DD Jan Mc Leod 1042 Colby Rd Waterloo, IA 50701 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box If contact information requires WATERLOO. IOWA 50704 updating and Indicate the change(s) on reverse side WATERLOO WATER - WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Pave 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES _ AccouNTSUMMARY ustomer Name: Jan Mc Leod Billing Frequency: Quarterly ccount Number: 110254-541175 Billing Date: 08/21/2020 ervice Address: 1042 COLBY RD Billing Due Date: 09/14/2020 Waterloo Water Works Services CHARGE SUMMARY Previous Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 $166.40 Water . . . . . . . $37.13 Credits/Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -$166.40 Water Service Excise Tax 0000 . . . . . . . . . . . . . 0000 . . $2.23 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $39.36 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . $39.36 City of Waterloo Services City of waterloo Subtotal 0000 . . . . . . . . . . . . . . . . . . . . $120.00 Sanitary Sewer 0111 . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.25 Total Current Service Charges . . . . . . . . . . . . . . . , . . , . $159.36 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.75 Total Amount Due . $159.36 Yard Waste / Recycle Site Maintenance Fee . . . . . . . $15,00 Amount Due After 09/14/2020 . . . . . . . . . . . , 0000 . . . $166.47 Yard Waste / Recycle Curbside . . . . . . . . . . . . . . . . . . $1200 Garbage . I I I I I I I I I I I I 1 0 1 6 0 4 $30.00 City of Waterloo Subtotal . $120.00 Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Fype Usage (CCIT� 05/07/2020 08/06/2020 1,232 Actual 10238 Actual 6 6 SPECIAL MESSAGES6 + IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VI51T g 31 21 2020CENSUS.GOV AS SOON AS POSSIBLE Si � o 0 00 d6 0 � o a '4,0 $ ^ ti ti r '4P 'PM1d" Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: Account Number: 110254-541175 WATERLOO W TER WORKS TotalAmountDue: 159.36 Amount Due After : 166.47 P.O. Box 27 Billing Due Date: - - - 09/14/2020 Waterloo, Iowa 50704 Phone: 319 232-6280 Amount Enclosed: ADDRESSEE: Jan Mc Leod 1042 Colby Rd Waterloo, IA 50701 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box If contact Information requires WATERLOO. IOWA 50704 updating and Indicate the change(s) on reverse side PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: Date: Address: Z(o ' "'' eSf- A Phone: City/State/Zip: V`f 6_T e_Y- 100 T6(_ 56-7 Service Address: �i2 G, Aut, Refund Amount Requested: $ G ( • "'i fI "Documentation Included: `/ yes No ** All request for refunds required proof of payment before refunds are processed. RfstCft,,vk �- W&,c, beLn� &kav-j&,k fijv_A.A�r�e jctv_h�L�b Comments: LA Q� ignature/Sanitation Department Date Confirmed Refund Amount: $ Cr l Confirmed w/Water Works: 1Yes No Michelle lVeidnev 2/15/2021 Finance Signature Date Refund Amount Paid: $ $91.71 ! 0 % CS �aD �-- �- o No PC p CD �O a5 T� v rte- c., 42LJAo i / D A AA A i i WATER LOO WA E R WORKS Phone: (319) 232-6280 '"' •– www:waterloowater,org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ACCOLINTSUMMARY ustomer Name: Joseph Manuele Billing Frequency: Quarterly ccount Number: 119144-548373 Billing Date: 06/23/2020 ervice Address: 1626 FOREST AVE Billing Due Date: 07/15/2020 Waterloo Water Works Services CHARGE SUMMARY Credits/Payments . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . -$105.00 Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 $40,98 Deposit Charged . . . . . . . . . . . . . . . . . . . . $105.00 . . . . . . . . . . . Water Service Excise Tax . . . . . . . . . . . . . . . 66 : : 66 . . $2.46 Water Works Subtotal . . . . . . . : . . . . . . . . . . . . . . . . $43.44 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . $43,44 City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . : . . . . . . . . . . . . . . $156.88 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.79 Total Current Service Charges , $200432 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.67 Total Amount Due . . . . . . . . . . . . , . . , . , , . -. , . 60 . 4 . 1 , $200.32 Garbage , , " 1 111 % 01 4 . 0000 * 646so 0 $ 0444 ' ' h . . . $76. 92 Amount Due After 07/15/2020 . , , . . , , , : . , ,. , . , . . . . $209.67 Yard Waste / Recycle Curbside , , , , , , , , , , , , , , , , , , $2.67 Yard Waste / Recycle Site Maintenance Fee . , , , , , . $10483 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $156,88 ate Current . Date Previous Read Previous Read Type Current Read Current Read Type Usage (CU 04/15/2020 06/17/2020 0 Actual 16 Actual 16 SPECIAL MESSAGES + PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN iA a REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE R .. o^ o o^ o Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYABLE TO: Account Number: 119144-548373 WATERLOO WATER WORKS Total Amount Due: 200.32 —�• _ Amount Due After 209. 67 P.O. Box 27 Billing Due Date: 07/15/2020 Waterloo, Iowa 50704 Phone: 319) 232-6280 Amount Enclosed : � � . Joseph Manuele 1626 Forest Ave Waterloo, IA 50702 WATERLOO WATER WORKS P.O. Box 27 ❑ Please check box If contact Information requires WATERLOO, IOWA 50704 updating and Indicate the change(s) on reverse side WATERLOO WATER WORKS Phone: (319) 232-6280 �— www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY ustomer Name: Joseph Manuele Billing Frequency: Quarterly ccount Number: 119144-548373 Billing Date: " 09/23/2020 ervice Address: 1626 FOREST AVE Billing Due Date: 10/15/2020 Waterloo Water Works Services CHARGE SUMMARY . . . . . . . . . . Previous Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . $200.32 Water . $37.96 Credits/Payments . . . . . , : . . , : $200.32 Water Service Excise Tax 1111 . . . . . . . . . . . . . . . . . . . $2.28 Water Works Subtotal . . . . . . . . ,c . . . . . . . . . . . . . . . $40.24 Water Works Subtotal . . . , . . . . . . . . . . . , . . . . . . . . . . . $40.24 City of Waterloo Services City of Waterloo Subtotal . . . . . . . : . . . . . ., , . . . . . . . . $195 .22 Sanitary Sewer . . . 1011 . . . . . . . . . : . . . . . . . . . . . . . . $60.97 Total Current Service Charges . . . . . . . . . . . . . . . . . . . . $235.46 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12. 75 Total Amount Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , $235.46 Garbage , . , . 11 I ' ll I I ' d * I a 1 0 a I A I 1 0 0 a a 1 0 4 4 1 0 0 $106.50 Amount Due After 10/15/2020 . . . . . . . . . : . . . . . . . . . $246.38 Yard Waste / Recycle Site Maintenance Fee . , . . . . . $15.00 CitV of Waterloo Subtotal , , , , , , , , , , , , , , , , , , , , , , $195.22 Previous Re-ad Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF) 06/17/2020 09/16/2020 16 Actual 29 Actual 13 ii SPECIAL MESSAGES io IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VISIT 2020CENSUS.GOV AS SOON AS POSSIBLE 0 ,,° � ry'° I Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 119144-548373 WATERLOO WATER WORKS Total Amount Due: 235.46 i Amount Due After : 246.38 P.O. Box 27 Billing Due Date: 10/15/2020 Waterloo, Iowa 50704 Phone: (319) 232-6280 Amount Enclosed: Joseph Manuele 1626 Forest Ave Waterloo, IAS0702 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box If contact Information requires WATERLOO, IOWA 50704 updating and Indicate the change(s) on reverse side PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE Name: Date: Address: ��f �P ��� t � � Phone: City/State/Zip: Wa�e�`ou I T& !76 7 C! Service Address: ��l +(� bu- ( n Refund Amount Requested: $Via' S3 **Documentation Included: V/Yes No ** All request for refunds required proof of payment before refunds are processed. " Comments. Re -►lt r£' qc.s�-e� t ,-33 --Lobuct docwykd flm -�r-ovg V\ja+er Word-s VeYcPjS the Grim unf 0� 4,.a,53 Signature/Sanitation Department Date Confirmed Refund Amount: $ S� Confirmed w/Water Works: L/Yes No Michelle Weidner 2/15/2021 Finance Signature Date Refund Amount Paid: $ $22.53 ---- - '/ . . . .� . . . . . . . . . . . . . . . . . . . .: : _ . . . . ! -i2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . _ . . _ . . 7 �: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . G?.,ctl iff 1167 P � SV7324 Ll �. . .Cti c . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II I III I 1611 s% ? 4 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H21CSCLGNP ' WATERLOO WATER WORKS Phone: (319) 232-6280 www.wate rl oowater.o rg 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY ustomer Name: Grimstad Deanna D Billing Frequency: Quarterly . ccount Number: 116728-507328 Billing Date: 06/12/2020 entice Address: 2116 CARDINAL DR Billing Due Date: 07/06/2020 Waterloo Water Works Services Previous Balance . . . . . . . . . . . . $135.95 Water . . . ' ' , , I ' d 1 . 11 $29.68 Credits/Payments . . . . . . . . . . . . .. . . . $ . . . . . . . . . . . . . . - 135.95 Water Service Excise Tax , . . . . . . . . . . .. . . . . . . . . . . . $1.79 Water Works Subtotal . . . . . . . . .: : , .. . ;: . . . , . . . . . . $31.47 Water Works Subtotal . . . . . . . . .. . . . . . . . . . . . .. . . . . . . $31.47 City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . . . . . . . . .. . . . . . . . $114.78 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . ... , , $47.25 Total Current Service Charges . . . . . . . . . . . . . : . . . . . : $14625 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . : . . . . . $12.00 Total Amount Due . . . . . . . . . . -. . . . . . . . . . . . . . . $146.25 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 Amount Due After 07/06/2020 . . , , . . . . . . . . . . . . . . . $152.72 Yard Waste / Recycle Site Maintenance Fee . . . . . . . $15.00 Yard Waste / Recycle Curbside . . . . . . . . . . . . . . . . . . $10. 53 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.78 03/09/2020 06/02/2020 149 Actual 154 Actual 5 u71 s PLEASE CONTACT CITY SANITATION (319) 291-4455 WITH QUESTIONS IN REGARDS TO THE YARD WASTE/RECYCLE SITE MAINTENANCE FEE ry�c eve, rye M1� oA rye¢ �� ^ 4o� Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO : Account Number: 116728-507328 WATERLOO WATER WORKS Total Amount Due: 146.25 Van Amount Due After : 152.72 P.O . Box 27 Billing Due Date: Vddd�07/06/2020 Waterloo, Iowa 50704 Phone: 319 232-6280 Amount Enclosed : ADDRESSEE : - Grimstad Deanna D 2116 Cardinal Dr Waterloo, IA 507011006 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box H contact Information requires WATERLOO. IOWA 50704 updating and indicate the change(s) on reverse side WATERLOO WATER WORKS Phone: (319) 232-6280 waiii - www.waterloowater.org 325 Sycamore Street Page 1 of 1 P.O. Box 27 ' Waterloo, Iowa 50704 STATEMENT OF SERVICES ACCOUNT SUMMARY M me: Grimstad Deanna D Billing Frequency: Quarterly ber: 116728-507328 Billing Date: 09/11/2020 ss: 2116 CARDINAL DR Billing Due Date: 10/02/2020 Waterloo Water Works Services Previous Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . $146.25 Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $178 .72 Credits/Payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -$146.25 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $10.73 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $189.45 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . $189.45 City of Waterloo Services City of Waterloo Subtotal . . . . . . . . . . . . . . . .. . . . . . . . . $120.00 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.25 Total Current Service Charges . . . . . . ._ . 101 . 4 . . . . . . $309.45 Storm Water Fee . I . . . . . . I . . . . . . . . . . . . . . . . . . 1 , $12.75 Total Amount Due . . . . . . . . . . . $309.45 . . . . . . . . . . . . . . . . . . Garbage . . . . . . . . ' ' . . . . . . . . . . . . . . . . I . . . . . . . . . $30.00 Amount Due After 30/02/2020. . . .. . . _ . _ . . . . . . . . . . $323.64 Yard Waste / Recycle Site Maintenance Fee . . . . . . 1 $15 .00 Yard Waste / Recycle Curbside . . . . . . . . . . . . . .. . . . . $12.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . .. . . . $120.00 06/02/2020 09/03/2020 154 Actual 235 Actual 81 ySPECIAL MESSAGES _ r i IF YOU HAVE NOT COMPLETED YOUR CENSUS FORM - PLEASE VISIT wDENIED 202OCENSUS.GOV AS SOON AS POSSIBLE r roo � o ,o" o's cF o`s o cW eff Please detach and return the bottom portion with your payment. See reverse side for additional Information MAKE CHECKS PAYARLE TO: Account Number: 116728-507328 WATERLOO WATER WORKS Total Amount Due: 309.45 Amount Due After : 323.64 P.O. Box 27 Billing Due Date : 10/02/2020 Waterloo, Iowa 50704 Phone: (319) 232-6280 Amount Enclosed: DD Grimstad Deanna D - 2116 Cardinal Dr Waterloo, IA 507011006 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s) on reverse side