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Approved Documents - 6/21/2021
City Clerk Use Only Finance Committee 6/21/2021 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 Airport Department to expend $ 8,626 plus est. shipping costs of $ to pay for or purchase FY-22 service contract for Tiba parking equipment. Invoice will be submitted for payment on 7/6/21. This purchase or expenditure is being made because: the extended service agreement is like an insurance policy for continued reliability of installed systems and equipment, individual components are very costly if they fail or need repair. Vendor selected for this purchase: Parking Inc/Keck Parking Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Parking Inc/Keck Parking is the sole source vendor of Tiba parking equipment in Iowa. 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: 010-29-7700-1390 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 8,626.00 and the current available balance is $ 8,626.00 Respectfully submitted, Keith Kaspari 6/8/2021 Whe«e Vezdner 6/21/2021 (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 6/21/2021 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 Airport Department to expend $ 14,130 plus est. shipping costs of $ to pay for or purchase equipment and labor to complete repairs to NW entrance of parking lot, including LPR system, and replacement of hydrant knocked out by auto accident. Work will not be completed until FY-22. This purchase or expenditure is being made because: an Airport tenant employee experienced a seizure and lost control of his vehicle, causing significant damage to both the parking entrance equipment and the hydrant. Insurance will reimburse us for the damages. Vendor selected for this purchase: Parking Inc/Keck Parking and Hudson Hardware F■ Bids or written quotes were taken on this purchase, as follows: Parking Inc bid for repairs, as sole provider of Tiba parking equipment: $10,240.70 Hudson Hardware, for replacement of hydrant: $3,886.59 Four other vendors were contacted on the hydrant,one quote was over$13,000,others have been unresponsive. 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: 010-29-7700-1371 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 114,005 and the current available balance is $ 114,005 Respectfully submitted, Keith Kaspari 6/9/2021 Wh Ile welAer 6/21/2021 (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 6/21/2021 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 Building Maint Department to expend $ 3,975.00 plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: Emergency replacement of pool heater at Gates Pool Vendor selected for this purchase: Pool Tech Inc. Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Emergency repair- only vendor with pool heater available in stock. Other vendors stated 6-8 weeks before they would be able to provide equipment. 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: 418-22-4200-2152 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 100,000.00 and the current available balance is $ 29,711.94 Respectfully submitted, Greg Ahlhelm 6/7/2021 Whe«e Weidner 6/21/2021 (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 6/21/2021 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 Finance Department to expend $ 2,500.00 plus est. shipping costs of $ to pay for or purchase debt and lease tracking software. We are converting from tracking debt and leases manually to a cloud-based software service. This should save time and ensure accuracy. This purchase or expenditure is being made because: Meets Strategic Plan strategy 3.3 - improve departmental efficiency. 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: DebtBook- $2,500.00 Munix- doesn't handle leases - cost is much higher 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: 010-03-8400 1520 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 110,750.00 and the current available balance is $ 2,607.91 Respectfully submitted, Michelle Weidner 6/9/2021 *Chal6 Weidne 6/21/2021 (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 6/21/2021 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 LEISURE SERVICES Department to expend $ NTE $7,258 plus est. shipping costs of $ to pay for or purchase Repairs to Young Arena's ammonia ice system This purchase or expenditure is being made because: numerous repairs are needed to keep the ice system operational and safe. & 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: 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, and provide timely 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 El Road Use Tax El Sewer F—] Sanitation ElBonds El Federal/other grants F—] Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4500-1388 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 19,700.00 and the current available balance is $ 9,959.77 Respectfully submitted, Paul Huting 6/9/2021 Wh//e wezAer 6/21/2021 (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 6/21/2021 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 Leisure Services Department to expend $ me 6,200 plus est. shipping costs of $ to pay for or purchase Approximately 150 tons of USGA#2 top dressing sand for golf courses, including greens. Strategy 4.5 Maintain city facilities. This purchase or expenditure is being made because: This product is needed to properly maintain Waterloo's three municipal golf courses. Vendor selected for this purchase: Waupaca Sand (Faulk Bros) Waupaca WI Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: The product needs to match the material exactly with what we currently use each year. 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: 010-37-4120 1511 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 13,690.00 and the current available balance is $ 7,529.81 Respectfully submitted, Paul Huting 06/07/2021 ve[dnei 6/21/2021 (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 6/21/2021 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 Leisure Services Department to expend $ 6,220.00 plus est. shipping costs of $ to pay for or purchase Installation and first annual fee for new registration/membership software to be used by SportsPlex, Sports, Young Arena, Leisure Campbell office, and WCA. Software will be installed in August 2021. This purchase or expenditure is being made because: the current software, Max Galaxy, will shut down in October. Strategy 4.7 Develop electronic initiatives that enhance ease of use and customer service. Vendor selected for this purchase: Sportsman Software, Sandy UT Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: SportsMan, Sandy Utah $6,220.00 Active Network, Dallas Texas $38,964.12 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: See attached. (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ Fiscal Year 2022 and the current available balance is $ Respectfully submitted, Paul Huting 5/27/2021 ve[dner 6/21/2021 (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 6/21/2021 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 Leisure Services Department to expend $ NTE $7500 plus est. shipping costs of $ n/a to pay for or purchase Emergency repair of HVAC cooling unit at Riverfront Stadium This purchase or expenditure is being made because: repair cooling system at Riverfront Stadium due to loss of cooling in building. The Waterloo Bucks season has started. Vendor selected for this purchase: Air Services Heating and Air Conditioning Waterloo la Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: This is an emergency repair that is time sensitive. Air Services was first to respond and could get replacement parts in one week. The System has been down for 2 weeks. City's strategic Plan 4.5 Quality of Place 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: 010-37-4100 1371 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 22,050.00 and the current available balance is $ 9,815.12 Respectfully submitted, Todd Derifield 06/16/2021 M«hE«e w6«Aer 6/21/2021 (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 6/21/2021 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 $ NTE 11,000.00 plus est. shipping costs of $ to pay for or purchase Desks and office furniture for Technology Services offices. This purchase or expenditure is being made because: Current desk/furniture is in dire need of replacement. 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: Storey Kenworthy handles majority of City furniture installs. 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 $ 260,000.00 and the current available balance is $ 77,555.20 Respectfully submitted, Chris Youngblut 6/9/21 weldner 6/21/2021 (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 6/21/2021 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 $ 3,951.00 plus est. shipping costs of $ to pay for or purchase Dell N3224P-ON network switch for fire station 2. This purchase or expenditure is being made because: This will allow us to connect the fiber out at fire station 2 and get staff there on the city network. Vendor selected for this purchase: F■ Bids or written quotes were taken on this purchase, as follows: Davenport Group $3,951.00 Dell Technologies $4,379.20 CDW-G $6,900.00 ❑ 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: 420-01-8225-2106 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 260,000.00 and the current available balance is $ 81,506.20 Respectfully submitted, Chris Youngblut 6/8/2021 6/21/2021 (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 6/21/2021 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 $ 17,598.70 plus est. shipping costs of $900.00 to pay for or purchase 1 - Utility Vehicle including gas operated, electrical, power cargo box lift and factory cab and heat. This purchase or expenditure is being made because: To be used at the Yard Waste Site. Vendor selected for this purchase: Bobcat purchased thru Black Hawk Rental 0■ Bids or written quotes were taken on this purchase, as follows: Black Hawk Rental (BobCat) Waterloo, IA $17,598.70 P & K of Waterloo Waterloo, IA $22,950.00 ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Approved by finance - 5/17/21 - Black Hawk Rental Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer ❑■ Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5400-2117 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 343,100.00 and the current available balance is $ 42,751.12 Respectfully submitted, Sandie Greco 6/9/2021 Michelle Wedge, 6/21/2021 (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 6/21/2021 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 $ 22,008.81 plus est. shipping costs of $ to pay for or purchase 7 - Axis Bullet Cameras with Vari Focal Lens and 2 - Axis 5 Mega IP Dome Cameras with WDR and IR - installation, license, hardware and software support. This purchase or expenditure is being made because: Cameras to be installed at 4 recycling sites and the City's fuel site. (only vendor locally to supply compatible cameras & software to match City's current system) Vendor selected for this purchase: RC Systems 0■ Bids or written quotes were taken on this purchase, as follows: RC Systems Waterloo, IA $22,008.81 ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer ❑■ Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5400-2106 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 77,400.00 and the current available balance is $ 29,850.00 Respectfully submitted, Sandie Greco 6/17/2021 Michelle vednev 6/21/2021 (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 6/21/2021 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 $ 5,540.91 plus est. shipping costs of $ 0 to pay for or purchase Wire rope cable on satellite overhead crane needs replacement This purchase or expenditure is being made because: Wire rope cable needs replaced on Shaw Box crane. Vendor selected for this purchase: Midwest Overhead Crane Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Midwest Crane is sole provider for cable Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax FE-1 Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 520-14-5200-1571 FY22 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 400,000.00 and the current available balance is $ 400,000.00 Respectfully submitted, Brian Bowman 06/07121 V[cVlle Vetdnev 6/21/2021 (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 6/21/2021 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 Sewer Department to expend $ 6,385.38 plus est. shipping costs of $ 697.48 to pay for or purchase Pump rental for maintenance on air diffuseres in aeration basins This purchase or expenditure is being made because: Needed for maintenance on air diffusers in aeration basins Vendor selected for this purchase: Sunbelt Rentals Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Sunbelt is 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 FE-1 Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 520-14-5200-1564 FY22 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 10,000.00 and the current available balance is $ 10,000.00 Respectfully submitted, Brian Bowman 06/07121 V[chelle Ve[d'er 6/21/2021 (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 6/21/2021 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 Sewer Department to expend $ 3,498.00 plus est. shipping costs of $ 515.26 to pay for or purchase GA Tote of ST-2520 Chemicals for preventative maintenance This purchase or expenditure is being made because: Preventative maintenance 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: Guard is sole provider for this chemical. Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax FE-1 Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 520-14-5200-1513 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 330,000.00 and the current available balance is $ 59,973.79 Respectfully submitted, Brian Bowman 06/09/21 Michelle Wetdnev 6/21/2021 (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 6/21/2021 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 Sewer Department to expend $ 34,250.00 plus est. shipping costs of $ 900.00 to pay for or purchase Diffuser Sock Replacement on Basin #4 This purchase or expenditure is being made because: Diffuser Sock needs replacement on Basin #4 Vendor selected for this purchase: Vessco Bids or written quotes were taken on this purchase, as follows: F■ Bids or quotes were not taken on this purchase because: Vessco 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 FE-1 Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 520-14-5200-1571 FY22 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 400,000.00 and the current available balance is $ 394,459.09 Respectfully submitted, Brian Bowman 06/09/21 Mlchelle Weidn r 6/21/2021 (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 6/21/2021 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 Street Department to expend $ 8,420.00 plus est. shipping costs of $900.00 to pay for or purchase 2 - Solar Arrow Boards This purchase or expenditure is being made because: For safety of workers alerting traffic entering road work and construction areas. Replacing 2 older units. Wrong vendor approved - should be United Rental not Black Hawk Rental. Vendor selected for this purchase: United Rental 0■ Bids or written quotes were taken on this purchase, as follows: United Rental Waterloo, IA $4,210.00 ea Iowa Plains Signing, Inc. Slater, IA $5,300.00 ea ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Approved 5/17/2021 as Black Hawk Rental Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer F—] Sanitation El Bonds ❑ Federal/other grants ❑E Other(specify) Local Option Tax This expenditure is to be coded to the following budget line-item: 205-19-7110-1571 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 34,700.00 and the current available balance is $ 25,043.28 Respectfully submitted, Sandie Greco 6/10/2021 MIChe«e we«rner 6/21/2021 (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 6/21/2021 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 Street Department to expend $ 6,323.24 plus est. shipping costs of $ 300.00 to pay for or purchase Drive Spro, Rollers and Idlers to repair skidsteer. This purchase or expenditure is being made because: Skidsteer repairs - equipment will be back in service. (only vendor in area to have parts in stock) Vendor selected for this purchase: 0■ Bids or written quotes were taken on this purchase, as follows: Murphy Tractor and Equipment Co., Inc. Waterloo, IA $6,323.24 ❑ 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: 266-19-7100-1571 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 85,000.00 and the current available balance is $ 44,731.43 Respectfully submitted, Sandie Greco 6/8/2021 Achene weIAn;' 6/21/2021 (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 6/21/2021 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 $ 24,263.25 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 - IDOT approved increase because of increase in cost of materials. 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 0■ 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): Finance approved $22,316.25 - 2/15/2021 Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑0 Road Use Tax ❑ Sewer F—I 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 $ 25,829.00 Respectfully submitted, Sandie Greco 6/16/2021 *Chal6 Weidner 6/21/2021 (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 6/21/2021 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 Waste Management Department to expend $ 11,654.40 plus est. shipping costs of $ 1,200.00 to pay for or purchase 2 - ITB Pro-Series Steel Dump Bodies for Trucks - #143A01 and 143A02 This purchase or expenditure is being made because: To replace current worn service body. (only vendor- replace with same model to save cost on hoist and mounting accessories) Vendor selected for this purchase: TriState Equipment 0■ Bids or written quotes were taken on this purchase, as follows: TriState Equipment Dubuque, IA $5,827.20 each ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): $11,654.40 & $500.00 S/H-approved 4/5/2021 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: 520-14-5200-2117 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 130,000.00 and the current available balance is $ 111,079.00 Respectfully submitted, Sandie Greco 3/15/2021 6/21/2021 (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 6/21/2021 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 Waste Management Department to expend $ 12,931.20 plus est. shipping costs of $ 1,200.00 to pay for or purchase 2 - KNAPHEIDE MODEL 682 Service Bodies for Trucks - #141317 and #141318. This purchase or expenditure is being made because: To replace current rusted service body. Vendor selected for this purchase: TriState Equipment 0■ Bids or written quotes were taken on this purchase, as follows: TriState Equipment Dubuque, IA $6,465.60 ea. Truck Equipment, Inc. Des Moines, IA $7,600.00 ea. Truck Equipment, Inc. Des Moines, IA $8,024.00 ea. ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): $12,931.20 & 400.00 S/H approved - 4/5/2021 Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax � Sewer F—I Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 520-14-5200-2117 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 130,000.00 and the current available balance is $ 98,224.60 Respectfully submitted, Sandie Greco 6/9/2021 WhelYe weer, 6/21/2021 (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 6/21/2021 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 Waste Management Department to expend $ 35,197.40 plus est. shipping costs of $200.00 to pay for or purchase 2 - Utility Vehicles including gas operated, electrical, power cargo box lift and factory cab and heat. This purchase or expenditure is being made because: To replace an old pickup - to be driven on site for maintenance and check spots. (Vendor is Black Hawk Rental -govt. discount thru Bobcat-to be invoiced by Bobcat) Vendor selected for this purchase: Bobcat of Waterloo thru Black Hawk Rental 0■ Bids or written quotes were taken on this purchase, as follows: Black Hawk Rental Waterloo, IA $17,598.70 ea. P&K of Waterloo Waterloo, IA $22,950.00 ea. ❑ Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Approved purchase thru Black Hawk Rental -4/5/2021 Please check the following box(es)as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax FE-1 Sewer F—I Sanitation EIBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 520-14-5200-2117 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 130,000.00 and the current available balance is $ 84,093.40 Respectfully submitted, Sandie Greco 6/9/2021 Whelle Weidner 6/21/2021 (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 6/21/2021 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 GarageNVaste Mgt Department to expend $ 4,556.65 plus est. shipping costs of $300.00 to pay for or purchase A rebuilt gasoline engine for pick up #140704. This purchase or expenditure is being made because: Engine failure in on-call truck. Vendor selected for this purchase: Witham Ford 0■ Bids or written quotes were taken on this purchase, as follows: Witham Ford Waterloo, IA $4,556.65 Arnold's Motor Supply Waterloo, IA $4,600.00 ❑ 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 FE-1 Sewer F—] Sanitation EIBonds ❑ Federal/other grants ❑ 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 $ 471,000.00 and the current available balance is $ 160,555.04 Respectfully submitted, Sandie Greco 6/11/2021 Michelle we«rger 6/21/2021 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Emergency Housing Vouchers -American Rescue Plan City Contract No. To be assigned by the Finance Dept. Project Manager Julie Dawson Project No. 13FAC Project Budget Total $ 156,788.00 Subproject No. ARPEHV 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name Emergency Housing Vouchers Grant Agreement Number 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) FX ❑ Yes No 3. Does the project include the purchase of right of way or other real property? ❑ EX If yes, will real property purchases be reimbursable under the grant? ❑ EX 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 ❑ EX B. Publication, or printing costs ❑ FX C. Others, list ❑ FX 5. Does this project cover any regular full-time salaries or benefits? ❑X If yes, employee/position to be covered. portion of Director& and I Housing Coordinator 6. Include a brief description of the project in the space below: (REQUIRED) The Waterloo Housing Authority has been allocated 15 Emergency Housing Vouchers through the American Rescue Plan. Funds are provided for housing assistance payments, administrative costs, and service fees which will be used to purchase beds, pay security deposits, and pay utility deposits and arrears for the homeless individuals being referred by our local Coordinated Entry program. A Memorandum of Understanding with the Iowa Contiuum of Care, as well as changes to the Administrative Plan will be on the Board Agenda July 19, 2021. Page 2 must be attached and signed. K:\shared good ies\forms\Waterloo.28920.1.Housing_EHV_Project_Budget_Worksheet.xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee 6/21/2021 Approval Date Project Name (from page one) Emergency Housing Vouchers-Armerican Rescue Plan Department No. project will be budgeted under 13 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5452 Project No. 13FAC Subproject No. ARPEHV (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 283 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant - 3352 Federal HUD Grant 156,788.00 156,788.00 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 - TOTALS $ 156,788.00 $ - $ - $ - $ 156,788.00 EXPENDITURES: 1111 Salaries - Regular 11,344.00 $ 11,344.00 1310 Professional Services 3,000.00 3,000.00 1393 Contributions & Subsidies 64,000.00 64,000.00 1706 Housing Assist Payments 78,444.00 78,444.00 TOTALS $ 156,788.00 $ - $ - $ - $ 156,788.00 Julie Dawson 06/07/2021 Mich//E Weidner 6/21/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Waterloo.28920.1.Housing_EHV_Project_Budget_Worksheet.xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Guernsey"Gas & Go-Transportation for School Tours at Youth Pavilion From: Guernsey Charitable Foundation. City Contract No. To be assigned by the Finance Dept. Project Manager Kent Shankle Project No. 26GFT Project Budget Total $ 10,000.00 Subproject No. GBUS 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 Grant Agreement Number C. City Match Source of Funding PYP/WCA budgets % Paid by City 50.00% D. Other Entities Yes = No = % Paid by other entity 50.00% Name Guernsey Charitable Foundation Done None 2. Attach copies of any grant agreements that will fund the project (REQUIRED) Q ❑ 3. Does the project include the purchase of right of way or other real property? ❑ Q If yes, will real property purchases be reimbursable under the grant? ❑ Q If yes, have you attached authorization to purchase real property to this document? ❑ ❑ x 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees Fx B. Publication, or printing costs ❑ Q C. Others, list ❑ ❑ 5. Does this project cover any regular full-time salaries or benefits? ❑ Q If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) The Guernsey"Gas&Go Grant will provide free tours& bussing funds to schools per tour trip to the Phelps Youth Pavilion/ It will also provide staffing and art supplies. Grant application is attached. Page 2 must be attached and signed. K:\shared good ies\forms\Waterloo.28868.1.FY2021-Guernsey_Fnd_BUS_Grant_5-27-21_(1).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 6/21/2021 Project Name (from page one) Guernsey"Gas &Go-Transportation for School Tours at Youth Pavilion Guernsey Charitable Foundation. Department No. project will be budgeted under 26 To be assigned by the Finance Dept. Activity No. project will be budgeted under 4265 Project No. 26GFT Subproject No. GBUS (Each column should only include amounts by fund) Fund: 010 Fund: 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 10,000.00 10,000.00 3750 Sale of Bonds - TOTALS $ 10,000.00 $ - $ - $ - $ 10,000.00 EXPENDITURES: 1111 Salaries- Regular $ - 1112 Salaries- Part Time 4,850.00 4,850.00 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services 4,150.00 4,150.00 1524 Workshop/Class Supplies 1,000.00 1,000.00 TOTALS $ 10,000.00 $ - $ - $ - $ 10,000.00 Kent Shankle, Director 6/1/21 M« ae wetdner 6/21/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Waterloo.28868.1.FY2021-Guernsey_Fnd_BUS_Grant_5-27-21_(1).xls\Page 2(Don at or NON-co nstr) (Mar 2010) PROJECT UDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Memorial Hall Courbat Memorial City Contract No . N/A Tobe assigned vy rt; a 1=rn_snce Dept. Project Manager Ptaject N© 01MYRr ; , Project Budget Total $ S[abpfc�fec#" }o CU,ftBAT 1 . How will this project be funded ? A . Federal Grant Yes 0 No 0 CFDA # % Paid by federal grant 0 . 00 % Grant Name Grant Agreement Number 0 . 00 % B . State Grant Yes = No 0 % Paid by state grant 0 . 00 % Grant Name Grant Agreement Number C . City Match Source of Funding % Paid by City D . Other Entities Yes 0 No F�X7 % 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 Qx If yes , will real property purchases be reimbursable under the grant? F1 ED If yes , have you attached authorization to purchase real property to this document? El ED 4 . Will this project include any non -participating expenses , such as : A. Stormwater permit fees ED Qx B . Publication , or printing costs ❑ El C . Others , list El ED 5 . Does this project cover any regular full -time salaries or benefits? ❑ Ox If yes , employee/position to be covered . 6 . Include a brief description of the project in the space below: ( REQUIRED) Marcia Courbat was a long-time Memorial Hall Commission member, who passed away. Her family suggested that memorials be given to the City on behalf of Memoral Hall , Page 2 must be attached and signed . Ushared goodies\forms\Project Budget Worksheet April 2020 .xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee 6/21/2021 Approval Date Project Name (from page one) Memorial Hall Courbat Memorial Department No. project will be budgeted under 01 To be assigned by the Finance Dept. Activity No. project will be budgeted under 8203 Project No. 01 MYR �,� Subproject No. COURBAT 3 ��3) (Each column should only include amounts by fund) 1\ Fund: Fund: Fund: Fund: 010 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 2,000.00 2,000.00 3750 Sale of Bonds - 3905 TIF Revenue - TOTALS $ 2,000.00 $ - $ - $ - $ 2,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries- Part Time - 1315 Education &Training - 1345 Travel -Official City - 1346 Travel - Prof Training - 1390 Contractual Services 2,000.00 2,000.00 2140 Land Purchase - 1358 Econ Dev Grant - TOTALS $ 2,000.00 $ - $ - $ - $ 2,000.00 Michelle Weidner 6/1/2021 6/21/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Project Budget Worksheet April 2020.xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name Tree Grate Replacement City Contract No. To be assigned by the Finance Dept. Project Manager JB Bolger Project No. 37RST Project Budget Total $ 2,432.00 Subproject No. GRATE 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 Nagle Signs insurance company 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 ❑X 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) A tree grate was damaged when Nagle Signs was installing a sign. Their insurance company will pay for replacing the tree grate. Page 2 must be attached and signed. K:\shared goodies\forms\Project_Budget_Works heet_Tree_Grate.xls\Page 1 All Projects (Mar 2010) CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee 6/21/2021 Approval Date Project Name (from page one) Tree Grate Replacement 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. 37RST Subproject No. GRATE (Each column should only include amounts by fund) Fund: Fund: Fund: 010 Fund: Total REVENUES: 3000 Cash on Hand $ - 3112 Local Option Sales Tax - 3350 Federal Grant - 3357 Shared Program - County - 3358 Shared Program - City - 3360 Shared Program - State - 3361 State Grant - 3365 State RISE Grant - 3368 EPA Grant - 3377 EDA Grant - 3720 Donations - Restricted - - 3111 Hotel Motel - 3871 Damage Claim 2,432.00 2,432.00 TOTALS $ 2,432.00 $ - $ - $ - $ 2,432.00 EXPENDITURES: 2103 Engineering &Consulting $ - 2125 Traffic Control Equipment - 2140 Land Acquisition - 2144 Land Improvements - 2146 Demolitions - 2151 Building Construction 2156 Bikeway Construction - 2162 Storm Sewers - 2163 Sanitary Sewers - 2164 Sidewalks - 2165 Streets & Roadways - 2199 Non-participating Misc 1371 Bldg Maint 2,432.00 2,432.00 TOTALS $ 2,432.00 $ - $ - $ - $ 2,432.00 Paul Huting 6/9/2021 M« //e we«rne% 6/21/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Project_Budget_Worksheet_Tree_Grate.As\Page 2(Constr Proj) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name Mayor's More Than Basketball League Year#2 City Contract No. To be assigned by the Finance Dept. Project Manager Mark Gallagher Project No. 37GFT Project Budget Total $ 25,509.59 Subproject No. BBALL 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 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 Young Family Foundation 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? El ❑ 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 El FX C. Others, list El FX 5. Does this project cover any regular full-time salaries or benefits? El FX If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) The Mayor's More Than Basketball League will be offered for boys and girls in grades 6-8. It will take place in the evening at the Cedar Valley SportsPlex. There will be coaches, referees and guest speakers that will all serve as positive role models for players. Players will receive food after the games. Donation received from Young Family Foundation and using the balance left from the program held in 2020. Page 2 must be attached and signed. K:\shared good ies\forms\Mayors_More_Than_Basketball_project_budget_worksheet_(2).As\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 6/21/2021 Project Name (from page one) Mayor's More Than Basketball League Department No. project will be budgeted under 37 To be assigned by the Finance Dept. Activity No. project will be budgeted under 4180 Project No. 37GFT Subproject No. BBALL (Each column should only include amounts by fund) Fund: _010_ Fund:_010_ Fund: Fund: Total REVENUES: 010-37-4105 010-37-4105 balance from 3000 Cash on Hand 2020 program $ - 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 20,000.00 5,500.59 25,500.59 3750 Sale of Bonds - 3111 Hotel Motel Discretionary - TOTALS $ 20,000.00 $ 5,500.59 $ - $ - $ 25,500.59 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time 13,000.00 3,000.00 16,000.00 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services 5,000.00 5,000.00 1567 Recreational Equip 2,000.00 2,500.59 4,500.59 TOTALS $ 20,000.00 $ 5,500.59 $ - $ - $ 25,500.59 Paul Huting 04/20/2021 Michelle Weer ^ 6/21/2021 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Mayors_More_Than_Basketball_project_budget_worksheet_(2).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY 21 City of Cedar Falls HOME Consortium City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 102,201.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name HOME Grant Agreement Number M-20-DC-190206 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) FX ❑ Yes No 3. Does the project include the purchase of right of way or other real property? FX El If yes, will real property purchases be reimbursable under the grant? 7X ❑ If yes, have you attached authorization to purchase real property to this document? El ❑X 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) City of Cedar Falls HOME Consortium Page 2 must be attached and signed. K:\shared good ies\forms\City_of_Cedar_Falls_Budget_Worksheet(5).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 City of Cedar Falls HOME Consotium Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5870 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 102,201.00 102,201.00 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 $ 102,201.00 $ - $ - $ - $ 102,201.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contributions and Subsidies 102,201.00 2140 Land Purchase - 1358 Econ Dev Grant - TOTALS $ 102,201.00 $ - $ - $ - $ - - - - - ERROR (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\City_of_Cedar_Falls_Budget_Worksheet(5).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY21 Northeast Iowa Food Bank City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 15,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Project provides assistance to the Food Bank for Operating Expenses Page 2 must be attached and signed. K:\shared goodies\forms\Northeast_lowa_Food_Bank_Budget_Worksheet(3).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Northeast Iowa Food Bank Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5850 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 15,000.00 15,000.00 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 $ 15,000.00 $ - $ - $ - $ 15,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contributions and Subsidies 15,000.00 15,000.00 1358 Econ Dev Grant - TOTALS $ 15,000.00 $ - $ - $ - $ 15,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Northeast_lowa_Food_Bank_Budget_Worksheet(3).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY21 Operation Threshold Weatherization Plus Program City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 20,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Home rehabilitation services to make homes eligible for weatherization Page 2 must be attached and signed. K:\shared good ies\forms\OT_Project_Budget_Worksheet(2).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Operation Threshold Weatherization Plus Program Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5850 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 20,000.00 20,000.00 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 $ 20,000.00 $ - $ - $ - $ 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 - 1390 Contributions and Subsidies 20,000.00 20,000.00 1358 Econ Dev Grant - TOTALS $ 20,000.00 $ - $ - $ - $ 20,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\OT_Project_Budget_Worksheet(2).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY21 Hospitality House City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 5,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Provides operating funds for the warming shelter Page 2 must be attached and signed. K:\shared goodies\forms\Hospitality_House_Budget_Worksheet(1).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Hospitality House Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5850 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 5,000.00 5,000.00 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 $ 5,000.00 $ - $ - $ - $ 5,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contirbutions and Subsidies 5,000.00 5,000.00 1358 Econ Dev Grant - TOTALS $ 5,000.00 $ - $ - $ - $ 5,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Hospitality_House_Budget_Worksheet(1).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY21 Salvation Army Emergency Shelters City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 15,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Project provides assistance to operate 2 homeless shelters Page 2 must be attached and signed. K:\shared good ies\forms\The_Salvation_Arm y_Budget_Worksheet(2).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Salvation Army Homeless Shelters Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5850 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 15,000.00 15,000.00 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 $ 15,000.00 $ - $ - $ - $ 15,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contributions and Subsidies 15,000.00 15,000.00 1358 Econ Dev Grant - TOTALS $ 15,000.00 $ - $ - $ - $ 15,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\The_Salvation_Army_Budget_Worksheet(2).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY21 Neighborhood Services City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 80,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Neighborhood Services works as a advocate for low income areas connecting families and services. Funds will cover salaries and fringe. Please divide the $80,000 accordingly Page 2 must be attached and signed. K:\shared good ies\forms\Neighborhood_Services_Budget_Worksheet(1).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Neighborhhood Services Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 6800 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 80,000.00 80,000.00 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 $ 80,000.00 $ - $ - $ - $ 80,000.00 EXPENDITURES: 1111 Salaries - Regular 80,000.00 $ 80,000.00 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 2140 Land Purchase - 1358 Econ Dev Grant - TOTALS $ 80,000.00 $ - $ - $ - $ 80,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Neighborhood_Services_Budget_Worksheet(1).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY 21 Iowa Heartland Habitat for Humanity Walnut and Church Row Projects City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 10,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Rehabilitation projects in the Walnut and Church Row neighborhoods Page 2 must be attached and signed. K:\shared good ies\forms\H4H_Project_Budget_Worksheet(1).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Iowa Heartland Habitat for Humanity Walnut and Church Row Projects Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5850 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 10,000.00 10,000.00 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 $ 10,000.00 $ - $ - $ - $ 10,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contributions and Subsidies 10,000.00 10,000.00 1358 Econ Dev Grant - TOTALS $ 10,000.00 $ - $ - $ - $ 10,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\H4H_Project_Budget_Worksheet(1).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY 21 Iowa Heartland Habitat for Humanity CHDO New Construction Project City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 73,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name HOME Grant Agreement Number M-20-DC-190206 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) CHDO New Construction Project on Calhoun St. Page 2 must be attached and signed. K:\shared good ies\forms\H4H_CHDO_Project_Budget_Worksheet_-_Copy(1).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Iowa Heartland Habitat for Humanity CHDO New Construction Project Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5870 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 73,000.00 73,000.00 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 $ 73,000.00 $ - $ - $ - $ 73,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contributions and Subsidies 73,000.00 73,000.00 1358 Econ Dev Grant - TOTALS $ 73,000.00 $ - $ - $ - $ 73,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\H4H_CHDO_Project_Budget_Worksheet=_Copy(1).xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY21 Iowa Legal Aid City Contract No. To be assigned by the Finance Dept. Project Manager Project No. Project Budget Total $ 5,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes 0 No 0 CFDA# % Paid by federal grant 100.00% Grant Name CDBG Grant Agreement Number B-20-MC-19-0008 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) FX ❑ 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? ❑ 7X If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Project legal assistance to low income households facing housing issues such as eviction or foreclosure. Page 2 must be attached and signed. K:\shared good ies\forms\lowa_Legal_Aid_Budget_Worksheet(1).xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) FY21 Iowa Lega Aid Department No. project will be budgeted under 32 To be assigned by the Finance Dept. Activity No. project will be budgeted under 5850 Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 224 Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 5,000.00 5,000.00 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 $ 5,000.00 $ - $ - $ - $ 5,000.00 EXPENDITURES: 1111 Salaries - Regular $ - 1112 Salaries - Part Time - 1315 Education &Training - 1345 Travel - Official City - 1346 Travel - Prof Training - 1390 Contractual Services - 1393 Contributions and Subsidies 5,000.00 5,000.00 1358 Econ Dev Grant - TOTALS $ 5,000.00 $ - $ - $ - $ 5,000.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\lowa_Legal_Aid_Budget_Worksheet(1).xls\Page 2(Donat or NON-constr) (Mar 2010)