The URL can be used to link to this page

Home My WebLink AboutApproved Documents - 8/12/2019 FINANCE DEPT. STAFF ONLY LINE ITEM USED / S'Ado TRAVEL REQUEST FY ORD BUDGETED I0(,VU y CITY OF WATERLOO EXPENDED YTD THIS REQUEST //b LEFT AFTER THIS , REQUEST ��5 DATE :F 6 Original-Clerk/Finance Co - Department NAME(S) AND POSITION(S): DATE: Kathy Skillings-Lab Foreman 08/01/19 NAME OF CLASS / MEETING: DESTINA/TION: Iowa Water Environment Association DEPARTURE POINT Newton, IA 50208 2019 Operators/Pretreatment Conference IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 09-4-19 09-4-19 09/04/19 PURPOSE OF TRAVEL/TRAINING: Education WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 520-14-5200-1346 LODGING TAXI x GRANT REIMBURSABLE MEALS PARKING YES NO 115.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 115.00 TOTAL: $ 115.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY y - E MAYOR DATE DATE K:AShared Goodies\Forms\Travel Request Form January 2010 cz _co E m V O 'N m U C W N 00 O o � � mm F= w aia o acini m c O o w N •y U N 4'3 O 0 0 CO KS _N '� N O Z m E O Cl) U V 3 qn +o- LM k: C- o COiH Q `m o °► U 3 c m w Q O L - y O m N d = h Q m G a o c O m N m d V d c o z ' E o &A o c t o m o l o c oO O E (Z Cb w o o � '� YU a) o ami m J O m o m c ac - v) a .o o a) CD co 3 C a � a� -x o e o w m:b 2 Q) Y � I c W m w :� .c d d Q F .h m U N .h (O m N O O Q7 w z CO cV0 O E oo`p -� J � a c m 'T _ � � � � 3 £ u � � � v y w � �nW E E E Wim E E E � � ¢ Qm N O 3 E E E mO00 E y E E E moon E w E E E moo a 6) W G1 as m m m000cn o _ m m m 0 0 C:) LO D_ N N r t!7 O O Ur Lo to O m m m O O O _7 L w M M 0 rn O M M , N N O = LC) lf) O l` .7 a n 00 m V O I � O V M M O O O m 3 r� � rn . r- orn > a p C1 ~ E E E E m m n E E E E E m m a E d E E E E m m �Q++ O d a m m m m o 0 0 o m m m m o C) o n — m m m m O oco � � � � o00 U) LO o00 o cnLO �n �n , o 3 Q. o r� COM � � r- o � ci � v � vvvo � Q _ } Y a C C m c m _ •V d 0O tz Tm . a (D Q yca O = > a+ � � d o .3 c o p N y OL ] oooO• 0 -d0 ';c V � OyCV " m 03 OL1 = Ln Om Q ' 'At cI LU _E 47 O L i `n �` m O a c y = O N _p d n, w Z o, Z o o) CL MD 040 ca 0 cu � o d c m O` Q H ° 'Q 0 c � ? E � E a N E T w d o 3 O Q � O O E 04 a) V! m O `° m a occ f � .o c Q' a N c o in aci E af°i .� a c a) o `0 m m c .0 O U E co `m d r- a) O N a) c a) aoi ami Q w m .� _ W o m %CA E o w � E _o mZZ 47 N c O Ui G iu N U N N U •w Cc .� (j ~ N W ,O m W " d 's F- m ani 3 Q co w 3 m ` c 'a m a) W o a) a a� o m m 4) a) m m s C d oO c c op -� .. o � a N a .E k 3 m c c � E m o U m m o c W u, C/) w a � Q a c s cn W c c � .�. o _ Q a) rn v h Ta. d o rn a) c f a) o a� c f iB = d d7 m ,-cam, a _� Y ' y O C .N m a) _ N Q v � io m J W m Q a o m o w U io po m m Co .E coo o E v y 'u a� E E E c cnUgU N � UUa � UUUro c w CO a c E E CL m = o 0 o a"i E d E E E E E = n E E E E d Q E E E E W �' E m m 0 .0 M M M a) w O d •d 0 0 0 0 CN U -r a O Cl) LO 0 Y 0 0 LO O w O O UC O d 0 07 D7 3 T O O M O d O M — O = O � -c O 0 N cV Cl) V N N M d- i O d N N M V X) 3 E E E Q m m m � � ao naQQ v nE E E E n E E E E o f m m m a) oo 0 0 o_ nnn 0 0 0 o M Cl) c a 3 M n o o n n o 0 o v n O lf) O CN O O Q) Q O M LO coM LO 0 0 U') M B O O l[) O co m O C CM/) - CN .- N N Cl) .N- r- O Cl) C 4 O Co .--- O r CN CN c'r) r N N M F'U2 :L & o {{ y 0F = k 2| _ ( } ■ � ? % � G aze 0 ` _ ` » § � ! o � � t \ ; ° { 2 ± }\ / \ a \ { / § oC [ � t \ _ _ / : R [) o ) : ` ¥ ro14 � =r \ \ G') \ � \ k Q \ Z3 Ci \ \\\ \ \ FA \ \ } : \ > \ t(Q & & w # 'b% - % � :aNOW It Iowa water Environment Association 56797 280th sr. Ames, IA 50010 Z CD3 \ \ 22I k ■ � 2e ¥ 9 / \ mma2 � � ° = � k � # k ® ®� C, E; C ° 2 ® m \ � 2 \ \ \ ® § ± ) § moi \ k § i } \ zE % * � � / mCbk : j \ 4® z � � ' 4 & ® � 2 \ SCD < — � ■ � % _ % m 2 q ; FINANCE DEPT. STAFF ONLY LINE ITEM USED ad p/ eo206/ /$y� TRAVEL REQUEST FY.&IaO BUDGETED CITY OF WATERLOO EXPENDED YTD THIS REQUEST 6W LEFT AFTER THIS REQUEST 3%0,3 DATE 1r'(o!r* Original-Clerk/Finance Co - Department NAME(S) AND POSITION(S): DATE: Quentin Hart 8/2/19 Mayor NAME OF CLASS/MEETING: DESTINATION Community Air Service Meeting with United Airlines Chicago, IL DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 8/21/19 8/22/19 08/22/19 PURPOSE OF TRAVEL/TRAINING Attend a meeting with Network Planning Officials at United Airlines. This meeting will be the first of two possible community meetings between City Staff and United Airlines and possibly American Airlines. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO Keith METHOD OF TRAVEL: Kas ari X CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: Waterloo Regional Airport ESTIMATE OF COST: BUDGET LINE ITEM: 010-01-8200-1345 $350 LODGING TAXI X GRANT REIMBURSABLE $100 MEALS $25 PARKING YES NO REGISTRATION AIRFARE REQUIRED CERTIFICATION $100 MILEAGE/FUEL $25 MISC/TOLLS YES NO TOTAL FOR ALL: $ 600.00 TOTAL: $ $W �gpPER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT HEAD A MAYOR 13—'� _) C tiAV*ar0u uoodiesu,orms ravel Request orm anuary 2010 DATE City Clerk use Only Finance Committee / Approval Date yr ) 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 $ 3,768.00 plus est. shipping costs of $ 547.00 to pay for or purchase Request authorization for the replacement of two wheels and tires on the airline terminal passenger boarding bridge This purchase or expenditure is being made because: Existing tires are heavily worn and need replacement. Current tires date back to when the passenger boarding bridge was installed in 2003. Vendor selected for this purchase: Hall Technical Services, LLC of Ellwood City, PA FRI Bids or written quotes were taken on this purchase, as follows: Other bid was from the OEM or Original Equipment Manufacturer (FMC Jetway). Their bid was $12,000. Hall Technical Services is a preferred provider of OEM-like products - yet at a much cheaper price. Staff rec'd referral from MSP Airfield Maint. Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): N/A Please check the following box(es) as appropriate to describe the funding for this expense: ❑X General Fund Road Use Tax Sewer Sanitation Bonds EI Federal/other grants o Other(specify) This expenditure is to be coded to the following budget line-item: 010 - 29 - 7700 - 1371 (Bldgs & Girds Maintenance) N/A (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 114,005.00 '' a d th 1 current available balance is $ 5-60 /D'Jgd6� v, Re pec ly fitted, (Signature Deredd or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies%forms\08 08 2019 Replacement Tires and Wheels for Jet Bridge(Mar 2010) RECEIVED AUG 011019 HALL TECHNCAL SERVICES,LLC QUOTATION 514 MF,cKiiL4NE, EuwooD Crry, PA 16117 Now 724-752-2000 FA,-. 724-758-1558 www,hallindustnes.com service@,,hallindustries.com TO: SHIP TO: WATERLOO AIRPORT WATERLOO AIRPORT 2790 LIVINGSTON LN 2790 LIVINGSTON LN WATERLOO,IA 50703 WATERLOO,IA 50703 ATTN: CHRIS PRESTON Quote No. Date Cust No S/M Your Referenced Inquiry Delivery Promise F.O.B. Expiration 0001624 8/1/2019 ALOAIR RFQ# STOCK SHIPPING POINT 30 DAYS Item QuantityUM Part Price Extension Description $ $ 001 2 EA 0004-0002 PBB 40x14x16 (Hall 14"RIM) 1,884.0000 3,768.00 HALL WILL MOUNT OUR PBB SOLID SOLVER TIRE ON A HALL 14"SERVICEABLE RIM.THEY WILL BE SHIPPED TO YOUR LOCATION AND WILL BE READY FOR MOUNTING ON YOUR JETBRIDGE. CUSTOMER IS TO RETURN A SET OF FMC STYLE ALUMINUM RIMS WITHIN 45 DAYS,CONSISTING OF (1)INNER P/N 2102480 AND(1) OUTER P/N 2005483,WITH ALL HARDWARE(12 EACH). 14"BOLTS, NUTS AND WASHERS.THESE RIMS MUST BEA 14"SERVICEABLE RIM, NO DEFECTS AND IN GOOD CONDITION. IF THE RIMS ARE NOT RETURNED WITHIN THE TIME PERIOD LISTED OR IF THE RIMS ARE INSPECTED AND FOUND TO BE DAMAGED UPON RETURN WE WILL CHARGE A RIM FEE OF$800.00 EACH FOR RIMS WE SHIPPED. FREIGHT INFORMATION: SEE FREIGHT LINE,THIS INCLUDES FREIGHT FROM OUR FACILITY IN CHATTANOOGA,TN TO YOUR LOCATION LISTED ON YOUR PURCHASE ORDER,THIS PRICE ALSO INCLUDES THE RETURN OF THE RIMS BACK TO HALL TECHNICAL SERVICES IN CHATTANOOGA,TN. Due to extreme material market volatility and the effects of Section 232 Tariffs,all material prices are subject to change at the time of order. The prices quoted are predicated on receiving all items being quoted. Piecemeal or different quantity order levels will be subject to re-quote. Freight cost are subject to all applicable surcharges in effect at the time of shipment. Page: 1 By: art► a►�A OT0333A HALL TECHNICAL SERVICES,LLC Q U OTAT I O N 514 Ykc;i LmvE, E11WOOi7 Crrr, PA 16117 PIfoNF.: 724-752-2000 Fix. 724-758-1558 www.hallindusines.com semice(a,'Aallindushies.com TO: SHIP TO: WATERLOO AIRPORT WATERLOO AIRPORT 2790 LIVINGSTON LN 2790 LIVINGSTON LN WATERLOO,IA 50703 WATERLOO,IA 50703 ATTN: CHRIS PRESTON Quote No. Date Cust No SIM Your Referenced Inquiry Delivery Promise F.O.B. Expiration 0001624 8/1/2019 ALOAIR RFQ# STOCK SHIPPING POINT 30 DAYS Price Extension Item Quantity LIM Part Description $ $ WE WILL PROVIDE YOU WITH A BILL OF LADING AND PHONE NUMBER OF THE TRUCKING COMPANY TO CALL WHEN YOU HAVE THE RIMS READY FOR RETURN. WITHIN 45 DAYS FROM DELIVERY RIMS MUST BE SECURELY PACKAGED FOR SHIPMENTAND RETURNED, PLEASE SEND ONLY THE 14"RIMS AS A SET WITH ALL HARDWARE INSTALLED ORA$125.00 FEE WILL BE ADDED TO YOUR ORDER. DO NOT SEND THE OLD TIRE OR SPROCKET.IF YOU DO SEND THE TIRE OR SPROCKET,THERE WILL BE A FEE FOR HANDLING AND DISPOSAL COST.ADDITIONAL FREIGHT CHARGES WILLAPPLY IF WE ARE BILLED BY THE FREIGHT CARRIER FOR THE ADDITIONAL WEIGHT. TERMS:NET 30 DAYS WITH APPROVED CREDIT.WE ALSO ACCEPT MASTER CARD,VISA,AND AMERICAN EXPRESS FOR FASTER SERVICE. ALL TIRE ORDERS ARE F.O.B. CHATTANOOGA,TN.THE FREIGHT PRICING IS QUOTED AT THE TIME OF QUOTATION AND IS FINAL. YOU MAY CHOOSE TO USE YOUR Due to extreme material market volatility and the effects of Section 232 Tariffs,all material prices are subject to change at the time of order. The prices quoted are predicated on receiving all items being quoted. Piecemeal or different quantity order levels will be subject to re-quote. Freight cost are subject to all applicable surcharges in effect at the time of shipment. Page: 2 By: a�� HALL TECHMCAL SERVICES,LLC Q U OTAT I O N 514 ME('R r sM LANE, Euxoou Crrr, PA 16117 Pow 724-752-2000 Pa.. 724-758-1558 www.hallindustries.com service t(�i hallindustries.com TO: SHIP TO: WATERLOO AIRPORT WATERLOO AIRPORT 2790 LIVINGSTON LN 2790 LIVINGSTON LN WATERLOO, IA 50703 WATERLOO, IA 50703 ATTN: CHRIS PRESTON Quote No. Date Cust No SIM Your Referenced Inquiry Delivery Promise F.O.B. Expiration 0001624 6/1/2019 ALOAIR RFQ# STOCK SHIPPING POINT 30 DAYS Price Extension Item Quantity UM Part Description $ $ PERFERED CARRIER AND ALL CHARGES WILL BE BILL THIRD PARTY FREIGHT,THIS MUST BE DONE AT THE TIME OF QUOTE AND IT MUST BE CLEARLY LISTED ON YOUR PURCHASE ORDER.ALL PAPER WORK/FREIGHT CHARGES/TAXES ANY CUSTOMS/DUTIES OR STORAGE FEES WILL BE YOUR RESPONSIBILITY. 800 1 FREIGHT FREIGHT CHARGES 547.0000 54700 Due to extreme material market volatility and the effects of Section 232 Tariffs,all material prices are subject to change at the time of order. The prices quoted are predicated on receiving all items being quoted. Piecemeal or different quantity order levels will be subject to re-quote. Freight cost are subject to all applicable surcharges in effect at the time of shipment. Page: 3 By. City Clerk Use Only Finance Committee c 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 Bldg Maint Department to expend $ 42,073.00 plus est. shipping costs of $ to pay for or purchase Amendment to original pre-authorization approved 6/3/2019 for emergency repairs to Byrnes pool. Original amount approved $35,000 - total of new repairs will be $42,073.00 This purchase or expenditure is being made because: Extent of damage required additional repairs and a change in vendors to perform the repairs and repainting of Byrnes pool Vendor selected for this purchase: Chester Pools &Al Blasting ❑ Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Emergency repair: Chester Pools is a vendor that specializes in this type of pool repair. Chester Pools - $ 38,073.00; Al Blasting - NTE $4,000.00 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 ❑X Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 417-22-4200-2132 &418-22-4200-2132 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ and the current available balance is $ �/o !`f /UU,DDd ZRespctfully submitted, Signature Dept. Head or Designee) Date (Sighature Finance Dept. Review) Date K:lshared good ies\forms\Expenditure Pre-Authorization.xis(Mar 2010) City Clerk Use Only Finance Committee G 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 Engineering Department to expend $ 1,200.00 plus est. shipping costs of $ 0.00 to pay for or purchase New 5'x8' Trailer and Water Pump This purchase or expenditure is being made because: Engineering needs a way to pemanently set a water tank generator and core drill so that we can take pavement cores of streets to determine existing thickness Vendor selected for this purchase: ❑x Bids or written quotes were taken on this purchase, as follows: Theisen's: $1,200 Blain's Farm and Fleet: No bid Lowe's: No 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: EI General Fund Ox Road Use Tax Sewer F1 Sanitation LI Bonds Federal/other grants Other(specify) This expenditure is to be coded to the following budget line-item: 266-07-7830-24+7- (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 1,500.00 and the current available balance is $ 1,500.00 Respectfully submitted, Z7 D fnc- Signature De t. Head or Designee) ate (Signature Finance Dept. Review) Date :\shared goodies\forms\Trailer and Pump.xlsx(Mar 2010) City Clerk Use Only Finance Committee Approval Dale City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the WFR Department to expend $ 1,270.76 plus est. shipping costs of $ 0.00 to pay for or purchase Portable Rescue Air Supply for new Truck. This purchase or expenditure is being made because: Loose equipment for new 303 Vendor selected for this purchase: Sandry Fire Supply ❑ Bids or written quotes were taken on this purchase, as follows: Fx Bids or quotes were not taken on this purchase because: Single Source Prior Committee Actions (Dates). Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund [J Road Use Tax ❑ Sewer ❑ Sanitation ❑x Bonds EI Federallother grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 418-12-1412-2117 (Fund- Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 550,000.00 and the current available balance is $ 20,184.03 Re ectfully mi / g {O Olt (Signature Dept. H ad or Designee) a e (Signature Finance Dept. Review) Date KAshared goodies\forms\Portable Rescue Air Supply.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 Leisure Services Department to expend $ 1,107.50 plus est. shipping costs of $ NA to pay for or purchase of water arobics weights This purchase or expenditure is being made because: over time the current weights need to be replaced and/or new weights bought. Vendor selected for this purchase: Swim Shops of the Southwest(Spring, TX) Ox Bids or written quotes were taken on this purchase, as follows: Swim Shops of the Southwest (Spring, TX) $1,107.50 Recreonics (Louisville, KY) $1,758.00 Gopher (Owatonna, MN) $1,987.25 ❑ 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: Qx General Fund ❑ Road Use Tax ❑ Sewer F—I Sanitation EI Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4180-1567 Recreational Equipment & Supplies (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 26,500.00 and the current available balance is $ 26 29 els as'y/7 Respectfully submitted, . (Signature Dept. He r Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2019 SportsPlex Pool weights.xls(Mar 2010) City Clerk Use Only Finance Committee B Approval Date 74t"A 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 $ 1,543.60 plus est. shipping costs of $ na to pay for or purchase new batteries for the electric gator at the SportsPlex This purchase or expenditure is being made because: over time the current batteries go bad and need to be replaced. Vendor selected for this purchase: ❑x Bids or written quotes were taken on this purchase, as follows: Scot's Supply (Waterloo, IA) $1,543.60 P&K Midwest (Waverly, IA) $1,560.00 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: ❑x General Fund Road Use Tax ❑ Sewer ❑ Sanitation 0 Bonds Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4180-1535 Hardware Items (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ *'0815-M �oUJ and the current available balance is $ 7-,.922-49— Respectfully -,.9 --Respectfully submitted , '-� `� L1�,u� ��'l9 (Signature Dep . d or Designee) Date ( Ignature Finance Dept. Review) Date KAshared goodieslformst2019 SportsPlex Gator Batteries Replacement.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date 2�(CA 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 $10,000 plus est. shipping costs of $ N/A to pay for or purchase Processed Top Soil to be picked up at vendor's site. This purchase or expenditure is being made because: Soil is needed to fill 400 holes created by the removal of ash tree stumps in Waterloo Parks and along street right-of-ways. Vendor selected for this purchase: Cedar Valley Lawn Care-Waterloo, IA Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Cedar Valley Lawn Care has capability of loading soil into grapple truck that has higher than normal sides on box. $35/cubic yard Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund F� Road Use Tax ❑ Sewer ❑ Sanitation QX Bonds EI 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 $ -10-9 S[L S 3 Ily submitted, (Signature Dep . He or Designee) Date ( Ig ature Finance Dept. Review) Date K:\shared goodies\forms it pre-auth(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 MIS Department to expend $ 5,900.00 plus est. shipping costs of $ to pay for or purchase Annual website hosting maintenance and content management system technical support This purchase or expenditure is being made because: Annual fee agreed upon when new website provider was chosen. Vendor selected for this purchase: Revize LLC Bids or written quotes were taken on this purchase, as follows: XX Bids or quotes were not taken on this purchase because: Revize is our hosting and CMS provider. 5 year agreement approved by council in 2016. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: FX General Fund ❑ Road Use Tax EI Sewer EI Sanitation RBonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-01-8220-1520 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 38,970.00 and the current available balance is $ 31,932.75 f Respectfully submitted, (Signature D pt. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodiesvorms\Pre-Auth Web Hosting and Support.As(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 Police Department to expend $ 23,721.60 plus est. shipping costs of $ 0.00 to pay for or purchase Purchase thirty-two Dell Precision 3430 desktop computers for the Police Department to replace older and non-functioning units. This purchase or expenditure is being made because: This purchase is part of the replacement plan for the police department of updating older and non-functioning computers. Vendor selected for this purchase: Dell Inc. ❑ Bids or written quotes were taken on this purchase, as follows: Fx Bids or quotes were not taken on this purchase because: Proprietary to the current computer systems and maintenance used by the Police Department. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: Qx General Fund El Road Use Tax ❑ Sewer ❑ Sanitation ElBonds ❑ Federal/other grants F—] Other(specify) This expenditure is to becodedto the following budget line-item: 417-11-1100-2106 / 418-11-1100-2106 (Fund - Department-Activity-Account Number) (Project Code) .; � in which the budgeted amount is $ /plJyob /Ou u7p and the current available balance is $ /75�s3 %dU, ddd Respectfully submitt e c d° c'z ignature Dept. Head or Designee) Date (Signa ure Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization(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 Police Department to expend $ 15,000.00 plus est. shipping costs of $ 0.00 to pay for or purchase Renewal of software license for cellular phone forensice examinations done by the police department for criminal investigations. This purchase or expenditure is being made because: Examination of cellular phones is routine for criminal investigations and this software renewal is required to continue those examinations Vendor selected for this purchase: Grayshift ❑ Bids or written quotes were taken on this purchase, as follows: 0 Bids or quotes were not taken on this purchase because: Grayshift is the equipment manufacturer and sole provider of this software. 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 EI Bonds ❑ Federal/other grants Fx Other(specify) TCDTF Forfeiture This expenditure is to be coded to the following budget line-item: 010-11-1160-1512 11-TRI TRIF (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ and the current available balance is $ Respectfully submitted, %' (Signature Dept. Head or Designee) Date (SigrTature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization(Mar 2010) Ci Clerk use Only + Finance Committee Approval Date City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the SEWER Department to expend $ 4.970.00 plus ext. shipping cost of $ 0.00 to pay for or purchase TV CAMERA REPAIR This purchase or expenditure is being made because: REPAIR OF TV CAMERA FOR TV VAN TO VIDEO SEWER LINES Vendor selected for this purchase: MUNICIPAL PIPE TOOL Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: MUNICIPAL PIPE IS SOLE REPAIR COMPANY FOR THIS CAMERA Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ElGeneral Fund: Road Use Tax: Sewer: RSanitation: Bonds: ❑Federal/other grants: ❑Other(speclfy): This expenditure is to be coded to the following budget line-item: 520-14-5200-1571 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 400,000.00 ' 3?✓ and the currentbalance is $ z"�v7 35606_1,3 ul submit gn ure Dep . Or Designee) 6ate (Signature Finance Dept. Review) Date MUNICIPAL 515 5TH STREET PO BOX 398 Quotation PIPE TOOL. PhoDne: 319 9 8 420SON, IOWA 543 Quote Number: WWW.MUNIPIPE.COM Fax: 319-988-3506 4262 "We Protect the Environment" Quote Date: Jul 22, 2019 Quoted to: Page: 1 CITY OF WATERLOO CITY CLERK 715 MULBERRY ST WATERLOO, IA 50703 Fax: 291-4571 Customer ID Good Thru Payment Terms i Sales Rep WATERLcity 8/21/19 Net 15 Days 06ROBINSON Quantity-- Description Unit Price Extension 1.00REPAIR FOR: SPR2 SERIAL NO: 15120902 SALES ORDER NO: 4433_07 4,933.071 000692870-PLUS FREIGHT BELOW If our equipment become lodged during attempts to perform duties specified by customer,all costs for Subtotal 4,933.07 removal and replacement of equipment will be the customers. Quantities shown am estimated and not guaranteed;they are solely for establishing the initial unit price Sales Tax for the services listed above.Final charges will be based on actual quantities. 36.93 Freight Total 4,970.00 ACCEPTED BY: Signature Title_ Date Scheduling Contact Person: Phone#: Cell ——_ —7 City Clerk Use Only [Finance Committee —vt (Approval Date City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the SEWER Department to expend $ 4,251.00 plus ext. shipping cost of $ 250.00 to pay for or purchase PISTA GRIT 250 Ni-HARD CONCENTRATOR This purchase or expenditure is being made because: EMERGENCY REPLACEMENT PART FOR GRIT UNIT IN BUILDING 15 Vendor selected for this purchase: VESSCO Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: SMITH & LOVELESSNESSCO IS THE ONLY SUPPLIER FOR THIS REPLACEMENT PART. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: El General Fund: FIRoad Use Tax: ❑X Sewer: Sanitation: Bonds: Federal/other grants: F�Other(speclfy): This expenditure is to be coded to the following budget line-item: 570-14-5200-1571 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 400 000.00 '" 3Z and the current available balance is $ 3-73-aFF7 n7 30S�F3 ctfully s I, ignature Dept. ead Or Designee) Date (Signature Finance Dept. Review) Date AFTERMARKET Smith & Loveless, Inc. SALES AGREEMENT Date: August 1, 2019 Project: Waterloo, IA Inq #: DA-29216 Rev. Existing S&L SN: 03-1293/94 Customer Contact: Jesse Customer Phone: 319-291-4553 Customer Email: maint@waterloo-ia.org Your local Smith & Loveless Representative Contact Information: Sales Person & Contact Phone: Cory Sonner (515) 233-8599 Representative Company: VESSCO, Inc. Representative Email: csonner@avessco.com Scope of Equipment: One (1) Pista Grit 250 gpm Ni-Hard Concentrator, p/n: 670174-300 Price (includes freight): $4,251 -MORE- 14040 Santa Fe Trail Drive. Lenexa, KS 66215 P: 913.888.5201 F: 913.748.0106 www.smithandloveless.com . AFTERMARKET Smith & Loveless, Inc. Page: 2 of 2 Inq: DA-29216 Rev. SN: 03-1293/94 Location: Waterloo, IA SHIPMENT: Manufacturing completion is Estimated at 4.6 Weeks from approved submittals. FUEL SURCHARGE: Any fuel surcharge assessed to Smith&Loveless,Inc.Shall be passed on at cost to customer.This fuel surcharge was not included in our quote and will be in addition to the contract amount. INSTALLATION: Smith&Loveless is supplying the aforementioned items.Owner is responsible for installation, including all inspections and/or code compliance of the installation. FREIGHT: F.O.B.Origin. PAYMENT: All purchase orders must be made out to Smith&Loveless,Inc. Payment is 100%prior to shipment via check or,with continuing credit approval, 1000/the earlier of net 30 days from date of shipment or at time of start up(if S&L start up is included in our quote). TERMS: Smith&Loveless'quotation and standard terms and conditions applies to this order and no terms set forth in buyers purchase order,acknowledgment letter or verbal communication shall control unless approved in writing by the S&L Contract Department.In the event of any inconsistency between S&L's terms and conditions and buyers purchase order,S&L's terms and conditions shall govern. TIME FRAME: Quote is good for 90 days. EQUIPMENT: If the equipment Smith&Loveless is providing is associated with the retrofit or modification of existing equipment,field adjustments to the existing and/or new equipment may be required for correct installation.Such adjustments may include,but are not limited to,piping modifications,grouting, shimming,control panel or electrical changes,etc. Smith&Loveless is relying on information provided by the customer,the installing contractor,or others with regard to the measurement,model or part numbers,drawings,and descriptions of existing equipment in the design and manufacturing of the new equipment for this project.As a result,Smith& Loveless shall not be responsible for any problems or difficulties encountered when fitting up new equipment with existing equipment. Agreed to this day of ,201_Lenexa,KS. Agreed to this day of ,201_at BUYER SMITH&LOVELESS,INC. By: By. PRINT NAME AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE ADDRESS CITY,STATE,ZIP PHONE Is this purchase tax exempt? _Yes _No If YES,attach Sales Tax Exemption Certificate.Failure to provide tax exempt certificate prior to shipment will result in Buyer being responsible for all applicable taxes. 14040 Santa Fe Trail Drive. Lenexa, KS 66215 P:913.888.5201 F:913.748.0106 www.smithandloveIess.com CITY OF WATERLOO Committee Communication Finance Committee Meeting: 08/12/2019 Prepared: Nancy Higbv Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of$56.35 for garbage collection fees billed in error on a property located at 3624 Logan Avenue. Summary Statement: This property utilized a private hauler and was therefore exempt from garbage fees. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: �CLERKD:1T`�Council&Finan,ceConununications\CowuilCommunicationetoCouncil�@UF'inanceW15;rinanceCommuni cadpnA030915,>aftoe.ref and doc WATERLOO WAT WORKS Phone:(319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O.Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES 7ervicmeAddress; Name: lehl Ray Winston Billing Frequency: Quarterly umber: 103211-501328 Billing Date: 04/24/2019 rF 3624 LOGAN-AYE,, Billing Due Date: 05/15/2019 Waterloo Water Works Services �S q t,.,.3IG wxtt.:n# ix4, c k 13 5 x,Xn 5 rC tC$»s.L..i..1#'�' •'. '�„'-",;".. . .. . ... . . . .... .. .... Water. . .. .. .... . . . ................... .. .. .. $94.06 Previous Balance. .. ..... $133.43 Water Service Excise Tax. .. ........ ... . ... $5.65 Credits/Payments.............................. -$133.43 . .. . Late Penalty. . . . ... .. .... .. ....... . . ........ . $6.50 Water Works Subtotal.......................... $106.21 Water Works Subtotal. . . ............ ......... $106.21 City of Waterloo Services City of Waterloo Subtotal.. ...................... $154.90 Total Current Service Charges.............,...... $261.11 Sanitary Sewer. . . .... . . . . . . . . . . . . .. .. . ....... $121.80 Total Amount Due.............................. $261.11 Storm Water Fee. . . .... .. .. . . .. ... . ..... ... .. $8_25 Amount Due After 05/15/2019.................._ $273.55 Garbage. . . . .. .. . ... . .. ... . . . .... . .. ... .. .. . $24.85 City of Waterloo Subtotal...... . . . . . . . . . .... ... $154.t30 I T (� 3S J Do6' i` 01/14/2019 04/05/2019 1,053 Actual 1,094 Actual 41 30 ._.___—.-_......... _..._,___ SPECIAL MESSAGES 25 U 20 pV 15 .. _ Y 10 0 ^p Is, pp. p1 \p p1 ,t5^� �p^1 ryp^1 ryp^1 ryp �^p rypgp �^p ryp^9 Please detach and return the bottom portion with your payment See reverse side far additional informationMAKE CHECKS PAYABLE ....._..._.m,� TO Account Number: 103211-501328 WATERLOO WA' ER WORKS Total Amount Due: 261:11 P.O.Box 27 Amount Due After: 273.55 Waterloo,Iowa 50704 Billing Due Date: 05/15/2019 Phone:(3191232-6280 Amount Enclosed: Ciehl Ray Winston i e" L 3624 Logan Ave x Waterloo,IA 50703 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.watericowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES r ustomer Name: lehl Ray Winston Billing Frequency: Quarterly ccount Number: 103211-501328 Billing Date: 07/24/2019 ervice Address: 3624 LOGAN AVE Billing Due Date: 08/14/2019 Waterloo Water Works Services 11 .. Water. . ... ... . . . . . . . ... . . ..... ....... ... .. . $63.61 Previous Balance......... ............... ..... $261.11 Water Service Excise Tax, ....• ,......... $3.82 ... ...Credits/Payments.............. .... ..... .$261.11 .. .. .. Water Works Subtotal .... . . .. . . ... . . . ..... $67.43 Water Works Subtotal......................,... $67.43 City of Waterloo Services City of Waterloo Subtotal.........,.,... $133.59 Sanitary Sewer.. .. ... .... . . . ... ..... ... ...... $90.09 Total Current Service Charges.......... .... Storm Water Fee. . ...... . .... . ... .. .. ........ pp $201.02 Total Amount Due.............................. $201.02 Garbage . .. ... . . .... . .. ...• .. .... .. .,. ...,... 31.50 Amount Due After 08/14/2019...,,.,, City of Waterloo Subtotal. .. .... . ..... . ........ $133.59 $210.88 04/05/2019 07/11/2019 1,094 Actual 1,120 Actual 26 as- _._........_..,....... ,.__._...........- <r V 26 -- p15 5 0 1• ry0^ '�i^n ry0^^ ry0^0 ry0^O ry0^� r10^O ,10^9 ,YO^9 11 Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 103211-501328 WATERLOO} To#'AmourtuAW - 7Qx.tl2 P.O.Box 27 Amount Due After: 210,88 Waterloo,Iowa 50704 4111ing Dut Date. 08j24/2U19 Phone:(319)232-6280 Amount Enclosed: . rr. lehl Ray Winston 3624 Logan Ave r Waterloo,IA 50703 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 e� Po+ qA8 PR'%'ATE N.AU`I.ER '.'.e,RSAGE EXINPTION APPI CUSTOMERS ONLY C TY OW; TERbDo, XOWA 77 Da �02,0 FApplicant's Name, Applicant a Telephone ac,,2,� 7�j 1, R4 Address: q vq Address of Exemption;on; 'X-mp-lo ----------- Water. Works Account - 1 request an vxemptior, tramGarbage Fees during che clirre an yea , -r�t Cal-dar emPiOV tile services Of a licensed trash hauler pi trash bauler, Only the location where 'he picks up garbage and trash will crualify tot the exempt � I "1at7�2 5 sign" TO BE COMP T-zD By LICENSED GARBAGE TRASH RALTLER: (we) hereby; declare that we are CompanyMame -.,,..- a licensed trash hauler in the City Of Waterloo, Iowa. and that we pick up garbage and refuse at the following location: 4 Bacinning Ending Address Locat on of Date of Date of "-I-1h*Ric =' /M D MOST C',RREN T CALMDAR yF,,A,.l We understand that the above information in used by the Clerk' offiin Waterloo, City Hall, 715 Mulberry Street, to determine eligibilityce for exemption from garbage fees for the current calendar year. T. the undersigned, declare under penalty Of Perjury that T have examined this claim, including all statements and above schedule, and to the best of my knowledge and belief, it 43 a TRUE, Cai2pFCT AND COMPLETE claim, and that I agree to comply with al" ordinances l - r I and 01-ides of the City of Waterloo and t he Black Dawk County solid Waste Commission, In the event that the above person discontinues service with said company during the Current calendar year, we hereby agree to notify the Clerk's Office of this event by Calling 21-4323, ate z d Ccm�4rpany Representat e ComP rly S Address / 0 Garbage & Traah HauTe-,w�7-pe- n1t Lice (issued by Slack Hawk Councy) ns, PLEASE RETURN TO: CITY CLFRY & FINX�4CE OFFICE 715 MULBERRY STREET WATERLOO, IOWA 50703 City Clerk's Copy - White Customer's Copy - yellow CITY OF WATERLOO Committee Communication Finance Committee Meeting: 08/12/2019 Prepared: Nancy Him Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of$93 for extended yard waste service fees paid in error on a property located at 1701 Corning Avenue. Summary Statement: This property was erroneously charged for extended yard waste fees after service was cancelled. The Sanitation Department has confirmed this and recommends approval of refund request. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: tile:/L'K �CLERKDAT1Council&FinanceCommunications�CouncilC'ommunica[ionstoCouncil&OFinance1201>lFinanceCommm:i cation1030915 flarbaEe refund doc __ ll i 8Z �" LZ 1 ^p 9z 9z 00 vz zz 0Z L!. 9l • � moo-- b c� - b/ � � 5� Wxw £� tiPP70z 0(7 � - s 8 9 � U � L �i�� "v7 99 I Gg V9 £9 Z9 L 9 09 6b 8t L� 9b I btr Lb Ob 6£ 9£ L£ 9£ ge b£ ££ Z£ L£ 0£ 6Z I WATERLO WATER WORKS Phone:(319)232-6280 www.water(oowater.org Page 1 of 1 32S Sycamore Street P.O. Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY ustomer Name: Knebel-Gress Beverly J Billing Frequency: Quarterly ccount Number: 114889-514727 Billing Date: 06/07/2019 ervice Address: 1701 CORNING AVE Billing Due Date: 06/28/2019 Waterloo Water Works Services Previous Balance............................... $32.07 Water... . ..... ... . . . . ........... ........ ... $29.10 Credits/Payments.............................. -$72.07 Water Service Excise Tax......... ... .. . .... ... $1.75 Balance Forward............................... -$40.00 Water Works Subtotal........ ... ............. $30.85 Water Works Subtotal.......................... $30.85 City of Waterloo Services Sanitary Sewer.. .. ... ..... ................... $45.00 City of Waterloo Subtotal........................ $103.05 Storm Water Fee.. .. . . ....................... $8.25 Total Current Service Charges.................... $133.90 Extended Yard Waste. ....... ................. $9.30 Total Amount Due.............................. $93.90 Garbage . ... . .. . .. . .. .......... ............. $31.50 Amount Due After 06/28/2019................... $98.52 Yard Waste... .. .. . .. . ....................... $9.00 City of Waterloo Subtotal................. .. ... $103.05 02/25/2019 05/22/2019 1,012 Actual 1,013 Actual 1 3s SPECIAL MESSAGES 30 U 25 -,- u 15 _ ie 10 — j 5 0 o' 0p Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS TaalAmouM oue 93.90 Amount Due After: 98.52 P.O.Box 27 Ung Due Date: 06/28/2019 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: DD Knebel-Gress Beverly J 1701 Corning Ave Waterloo,IA 507013201 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 325 Sycamore Street www.waterloowater.org P.O. Box 27 Paee 1 of 1 Waterloo,Iowa 50704 STATEMENT OF SERVICES ustomer Name: Knebel-Gress Beverly J BillingFrequency:q y: Quarterly ccount Number: 114889-514727 Billing Date: 03/08/2019 ervice Address: 1701 CORNING AVE Billing Due Date: 03/29/2019 Waterloo Water Works Services Water. . . . . . . .. ... Previous Balance..................•,,,,,,, $50.17 $29.10 Water Service Excise Tax.... .................. Credits/Payments................... -$152.00 $1.75 ••••••• Water Works Subtotal,,,,,,,,,,, ,,,,• ,,...., • $30.85 Balance Forward..................... -$101.83 City of Waterloo Services Water Works Subtotal........................... $30.85 Sanitary Sewer.. .. . .......................... $45.00 City of Waterloo Subtotal.......I...I............ Storm Water Fee... . .. ....................... $103.05 $8.25 Total Current Service Charges.................... Extended Yard Waste.. ....................... $9.30 $133.90 Garbage. . . . . . . ..... ..... Total Amount Due............................ $32.07 ................... $31.50 .. Yard Waste... . ... . . . .. . $9.00 Amount Due After 03/29/2019................,.. $33,58 City of Waterloo Subtotal............ .......... $103.05 11/28/2018 02/25/2019 1,011 Actual 1,012 Actual 1 3s 30 U26 SPECIAL MESSAGES U 20 v 16 n 10 j 5 0 ^ti Ory Oh 00 �^ oti 15 1P ^^ Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS TotatAmouM'IDuei sx.m P.O.Box 27 Amount Due After: 33.58 Waterloo,Iowa 50704 BIUInt CW t>'M: 03/29/2019 Phone:(319)232-6280 Amount Enclosed: DD Knebel-Gress Beverly 1701 Corning Ave Waterloo,IA 507013201 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 WATERWORKS Phone:(319)232-6280 www.waterloowater.org Pave 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNT ustomer Name: Knebel-Gress Beverly J Billing Frequency: Quarterly %ccount Number: 114889-514727 Billing Date: 12/06/2018 ervice Address: 1701 CORNING AVE Billing Due Date: 12/31/2018 Waterloo Water Works Services CHARGE SUMMARY Previous Balance............................... $98.75 Water. . . . . . . . . .. ... . . .... ........ .. ........ $27.70 Credits/Payments.............................. -$178.75 Water Service Excise Tax.... .... .... . .. . .. . ... $1.67 Balance Forward............................... -$80.00 Water Works Subtotal. ... ............ . ....... $29.37 Water Works Subtotal.......................... $29.37 City of Waterloo Services SanitarV Sewer.. . . .. . ......... .............. . $42.75 City of waterloo Subtotal........................ $100.80 Storm Water Fee.. .. . ........................ $8.25 Total Current Service Charges.................... $130.17 Extended Yard Waste......................... $9.30 Total Amount Due................ $50.17 .............. Garbage. . .. .. . .. .. . ....... .... ............. $31.50 Amount Due After 12/31/2018................. .. $52.60 Yard Waste. . . . . ..... .. ............... ....... $9.00 City of Waterloo Subtotal.... ........... .... ... $100.80 Lt�,;Illllllllll 1101 111 all 08/27/2018 11/28/2018 1,009 Actual 1,011 Actual 2 as — SPECIAL MESSAGES — so U 2s u zn m 15 CP q f� J 5 0 0 0 0 Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS Total Amount Due: 50.17 Amount Due After: 52.60 P.D.Box 27 Billing Due Date: 12/31/2018 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Knebel-Gress Beverly J 1701 Corning Ave ' Waterloo,IA 507013201 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 WA ER WORKS Phone:(319)232-6280 www.Waterloowater.org 325 Sycamore Street P P.O. Box 27 aee 1 of 1 Waterloo,Iowa 50704 STATEMENT OF SERVICES ustomer Name: Knebel-Gress Beverly J Billing Frequency: quarterly ccount Number: 114889-514727 Billing Date: 09/06/2018 ervlte Address; 1701 CORNING AVE Billing Due Date: 09/27/2018 Waterloo Water Works Services Water.. . . . . . . . .. . .............. Previous Balance................ $30.44 .... ........ $27.70 ............... Water Service Excise Tax............... . .... $1Credits/Payments.............................. -$61.86 .67 . Water Works Subtotal................. ....... $29.37 Balance Forward........................... ... -$31.42 City of Waterloo Services Water Works Subtotal.......................... $29.37 Sanitary Sewer. . . . ... .. ... .... ...... ..... .... $42.75 City of Waterloo Subtotal........................ $100.80 Storm Water Fee. . .... ..... ..... ... ...... .. $8,25 Extended Yard Waste.... ... .... . ... Total Current service charges.........,.......... $130.17 $9.30 Total Amount Due................. Garba>;e .. . . .. . . . . ............. $98.75 $$9.50 Amount Due After 09/27/2018................... Yard Waste. .. . . . . ... ............. $9.00 $103.61 .... .... ... City of Waterloo Subtotal............ ....... ... $100.80 05/24/2018 08/27/2018 1,003 Actual 1,009 Actual 6 36 30 U 25 U Ia �— m 15 m 1p _- j 5 0 ry ry Please detach and return the bottom portion with your payment.See reverse sidefor additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS ToUll Amount Due- 98,75 P.O.Box 27 Amount Due After: 103.61 Waterloo,Iowa 50704 Boling Due Data: 09/27/2018 _ Phone:(3191232-6280 Amount Enclosed: ADDRESSEE: ■- Knebel-Gress Beverly J 1701 Corning Ave Waterloo,IA 507013201 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 WATERL00)yhZL9 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 ustomer Name: Knebel-Gress Beverly J Billing Frequency: Quarterly %Ccount Number: 114889-514727 Billing Date: 06/08/2018 ervice Address: 1701 CORNING AVE Billing Due Date: 06/29/2018 Waterloo Water Works Services Previous Balance............................... $83.35 Water.. .. . ... . . . .. . .............. .. ........ $27.70 Credits/Payments.......................... .... -$183.35 Water Service Excise Tax........... ..... ... ... $1.94 Balance Forward............................... -$100.00 Water Works Subtotal. .......... ............. $29.64 City of Waterloo Services Water Works Subtotal........................... $29.64 Sanitary Sewer. . . . .. . .. .... ... ... ... ......... $42.75 City of Waterloo Subtotal........................ $100.80 Storm Water Fee .... . . . ... ... . . .... .. ...... .. $8.25 Total Current Service Charges.................... $130.44 Extended Yard Waste. ....... ......... .. . .. ... $9.30 Total Amount Due........... $30.44 ................... Garbage.. .. .. ..... .. . ........... .. ... ... ... $31.50 Amount Due After 06/29/2018................... $31.86 Yard Waste. . . . . ... . . .. ...... ......... ....... $9.00 City of Waterloo Subtotal............ ..I....... $100.80 Mvious R�cad Date Current Read Date 02/26/2018 05/24/2018 999 Actual 1,003 Actual 4 as �w SPECIAL MESSAGES U Z' U 20 v 16 qm � 6 0 ry0 n0 ry0 ry0 M1O ry0 M1O ry0 ry0 Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS Total Amount Our. —' 30.44 Amount Due After: 31.86 P.D.Box 27 Bpl(ng Due Date: 06/29/2018 Waterloo,Iowa 50704 Amount Enclosed: Phone:(319)232-6280 Knebel-Gress Beverly J 1701 Corning Ave Waterloo,IA 507013201 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact Information requires WATERLOO.IOWA 50704 updating and indicate the change(s)an reverse side WATERLOO ITER WORKS Phone:(319)23Z-6280 - -_ www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo,Iowa 50704 STATEMENT OF SERVICES ACCOUNTSUMMARY L er Name: Knebel-Gress Beverly J Billing Frequency: Quarterly t Number: 114889-514727 Billing Date: 03/07/2018 Address: 1701 CORNING AVE Billing Due Date: 03/28/2018 Waterloo Water Works Services Previous Balance............................... $77.77 Water.... . .... ... . . . . ...................... $27.70 Water Service Excise Tax................••.... $1.94 Credits/Payments.............................. -$127,77 Late Penalty.... . . ... . . ...................... $2.91 Balance Forward............................... -$50.00 Water Works Subtotal. . . ..................... $32.55 Water Works Subtotal.................. .. $32.55 City of Waterloo Services City of Waterloo Subtotal........................ $100.80 Sanitary Sewer.. .. . .. ........................ $42.75 Total Current Service Charges.................... $133.35 Storm Water Fee.. . . . . . ........ .... .......... $8.25 Total Amount Due.............................. $83.35 Extended Yard Waste. ........................ $9.30 Amount Due After 03/28/2018................... $87,43 Garbage .... ... . . .. . . . ..... ................. $31.50 Yard Waste. ... . .. .. . .. .... .................. $9.00 City of Waterloo Subtotal...................... $100.80 11/27/2017 02/26/2018 993 Actual 999 Actual 6 35 90 SPECIAL MESSAGES LL u U p 15 n 10 � 5 0 ^^ Off' 05 Op ^1 Ory ph pp ^^ Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number:WATERLOO & 114889-514727 ATER WORKS Total Amount Due: 4 _ 727 P.O.Box 27 Amount Due After: 87.43 Waterloo,Iowa 50704 Billing Due Date: 03/28/2016 Phone:(319)232-6280 Amount Enclosed: DD Knebel-Gress Beverly J 1701 Corning Ave Waterloo,IA 507013201 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the changes)on reverse side WATERLOO WA 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 ACCOUNTSUMMARY ustomer Name: Knebel-Gress Beverly J Billing Frequency: Quarterly %ccount Number: 114889-514727 Billing Date: 12/06/2017 ervice Address: 1701 CORNING AVE Billing Due Date: 12/29/2017 Waterloo Water Warks Services CHARGE SUMMARY Previous Balance............................... $77.77 Water.. . . . . . .. . . . .. . . ... ................... $25.20 Credits/Payments.............................. -$127.77 Water Service Excise Tax...... ...... .. . ... .... $1.77 Balance Forward............................... -$50.00 Water Works Subtotal . .. . ........ ........ .... $26.97 City of Waterloo Services Water Works Subtotal.......................... $26.97 Sanitary Sewer. . ..... . . ........... ........... $42.75 City of Waterloo Subtotal........................ $100.80 Storm Water Fee. . . . . ....... ....... .... ...... $8.25 Total Current Service Charges.................... $127.77 Extended Yard Waste. . .. ... ....... ......... . . $9.30 Total Amount Due.............................. $77.77 Garbage. . . . ... .. . . ....... .................. $31.50 Amount Due After 12/29/2017................... $80.68 Yard Waste.. . . ... . . . .. .... ....... ......... .. $9.00 City of Waterloo Subtotal........... .. . ... .. ... $100.80 08/24/2017 11/27/2017 987 Actual 993 Actual 6 3s _ao SPECIAL MESSAGES U 25 U 20 m 15 n 10 u 5 0 91 00 Please detach and return the bottom portion with your payment.see reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS TotalAmuuntDue. __ 77.77 Amount Due After: 80.68 P.O.Box 27 Bitling Due,pate. 12/29/2DI Waterloo,Iowa 50704 T Phone:(319)232-6280 Amount Enclosed: Knebel-Gress Beverly J 1701 Corning Ave Waterloo,IA 507013201 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 Paee 1 of 1 P.O. Box 27 Waterloo.Iowa 50704 STATEMENT OF SERVICES pill ACCOUNT SUMMARY ustomer Name: Knebel-Gress Beverly 1 Billing Frequency: Quarterly ccount Number: 114889-514727 Billing Date: 09/06/2017 ervice Address: 1701 CORNING AVE Billing Due Date: 09/27/2017 Waterloo Water Works Services Water. . .. . . ... Previous Balance............................... $27.77 $25.20 Water Service Excise Tax. .. .............. CreditsJPayments...........,.................. -$77,77 ..... $1.77 Water Works Subtotal. .... . .. .... ......•. .... $26.97 Balance Forward............................... -$50.00 City of Waterloo Services Water Works Subtotal.......................... $26.97 Sanitary Sewer. ..... . ........................ $42,75 City of Waterloo Subtotal........................ $100.80 Storm Water Fee.. . . .. ......... .............. $8.25 Total Current service Charges.................... $127,77 Extended Yard Waste. . ................. ...... $9.30 Total Amount Due.............................. $77.77 Garbage... . .. .. .. . ........ ................. $31.50 Amount Due After 09/27/2017................ Yard Waste. . .. .... .. ................. ... .... $9.00 $80.68 City of Waterloo Subtotal..... ...... . ... .... ... $100.80 105/24/2017 08/24/2017 981 Actual 987 Actual 6 ]5 &3n U 25 SPECIAL MESSAGES a 20 _. 15 _ N 1D � 5 0 p�, 05 p0 ^ti pti �,5 ryph' ryph' le 11' Please detach and return the bottom portion with your payment.See reverse side for additional information -- MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS Total Amount Due. nn P.O.Box 27 Amount Due After: 80.68 Daft,Due a ; Waterloo,Iowa 50704 Billing 0927/2017 Phone:(319)232-6280 Amount Enclosed: DD Knebel-Gress Beverly) 1701 Corning Ave Waterloo,IA 507013201 WATERLOO WATER WORKS P.D.BOX 27 ❑Please check box if contact Information requires WATERLOO,IOWA 50704 updating and Indicate the change(s)an reverse side WATERLOO WATER 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 ACCOUNTSUMMARY ustomer Name: Knebel-Gress Beverly J Billing Frequency: Quarterly ccount Number: 114889-514727 Billing Date: 06/07/2017 ervice Address: 1701 CORNING AVE Billing Due Date: 06/28/2017 Waterloo Water Works Services CHARGE SUMMARY Previous Balance...................I........... $133.74 Service Water ... . . ... ........................ $ .20 Credits/Payments.............................. $233.74 Water Service Excise Tax................... $$11.77 galanceForward ....... -$100.00 Water WorksSu total. . ...................... $26.97 ........., .............. City of Waterloo Services Water Works Subtotal.......................... $26.97 Sanitary Sewer. . .. . . . . . ... ... .... ........ .... $42,75 City of Waterloo Subtotal........................ $100.80 Storm Water Fee. .. . . . . ........... ........... $8.25 Total Current Service Charges.................... $127.77 Extended Yard Waste. ...... . ................. $9.30 Total Amount Due........... $27,77 Garbage. . . .. .. . . ... . ...... .... ............ . $31.50 Amount Due After 06/28/2017................... $28.18 Yard Waste.. . . . . ... . ..... ............... .... $9.00 City of Waterloo Subtotal..... .. ..... ....... ... $100.80 Previous Read Date Current ReadDate Previous Read PrCWCUS Read Type Current Read Current , Usape(CCF) - 02/27/2017 05/24/2017 976 Actual 981 Actual 5 30 SPECIAL MESSAGES l5 U 25 U 20 --. y is ..-...-., �..- 0 T j 5 0 Oy 09 �� oM1 Oy 00 e'� off' r� no ,�O ryo ,y0 ry0 10 Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS Totid Amount Due: 27.77 Amount Due After: 28.18 Waterloo,Iowaa 50704 P.O.Box BIIUtn Due Date: 06/28/2017 Phone:(3191232-6290 Amount Enclosed: DD Knebel-Gress Beverly J 1701 Corning Ave Waterloo,IA 507013201 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 WA E R W O RKS 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: Knebel-Gress Beverly J Billing Frequency: Quarterly ccount Number: 114889-514727 Billing Date: 03/07/2017 ervice Address: 1701 CORNING AVE Billing Due Date: 03/28/2017 Waterloo Water Works Services Previous Balance............................... $51.94 Water. . ....... ... .. . .... .... ............... $70.70 Water Service Excise Tax............ ... ....... $4.95 Credits/Payments.............................. -$154.45 Water Works Subtotal. .................. .... . $75.65 Balance Forward............................... -$102.51 City of Waterloo Services Water Works Subtotal.......................... $75.65 Sanitary Sewer. . .. ... . .... ........... ... ..... $102.55 City of Waterloo Subtotal........................ $160.60 Storm Water Fee . ... .. . ........ ............. . $8.25 Total Current Service Charges..................., $236.25 Extended Yard Waste. . ..... ..... ..... ..... .. . $9.30 Total Amount Due.............................. $133.74 Garbage.... .... . ... . ... ....... ........... . . $31.50 Amount Due After03/28/2017......,............ $140.19 Yard Waste... ... .. . . . .... .. .... ............. $9.00 City of Waterloo Subtotal.......... ..... ....... $160.60 Previous Read Dat Current Read DAtu Prcviou�Read Previous Read Type C.Grront Read Current Read TVpe USdg( (CCF) 12/01/2016 12/08/2016 972 Actual 941 Actual 0 12/08/2016 02/27/2017 941 Actual 976 Actual 35 28 _ SPECIAL MESSAGES 24 V 20 — n ie m 12 m 2 4 0 4. OB ♦, On' d' 00 tip,>" �•y" 100, �°e Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 114889-514727 WATERLOO WATER WORKS Total Amount Due. 133.74 Iowaa 50704 Amount Due After: 140.19 Waterloo, P.O. o Bilk Due Date: 03/28/2017 Phone:(319)232-6280 Amount Enclosed: DD Knebel-Gress Beverly) 1701 Corning Ave • Waterloo,IA 507013201 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 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 08/12/2019 Prepared: Nancy Hiebv Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of$166.73 for yard waste can and extended yard waste fees paid in error on a property located at 126 Lobdell Road. Summary Statement: This property was erroneously charged for a yard waste can during the billing period(s) submitted. The Sanitation Department has confirmed there was no yard waste can at the property and recommends approval of refund request. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: i i fi lei`�'h'\CLERK DAT1Counci I&FinanceCommun ieati ons\Counei ICom mun ica[i on stoCouncil&OF mance\2015\FinancaCommuni cation\030915.varbagerefund.doc ceryl TO I,•) Vwrn ; t Mai 0onCern1 . We- h0.vk }'�c�ic� � r NXt-2YY�-� 041 NAst-e 51 ncz-A dlkh-C of ,;01-7 and kai & mover dad a Cah . T &m aS�ino) far �e�o� SerU� ce S . fid. wa�'coo , 570 � h��n WATERLOO ATWORKS Phone:(319)232-6280 60. www.waterloowater.org Paee 1 of 1 32S Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 06/13/2019 ervice Address: 126 LOBDELL RD Billing Due Date: 07/05/2019 Waterloo Water Works Services Previous Balance............................... $152.11 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.19 Credits/Payments.............................. -$187.61 Water Service Excise Tax. . . .. . . . . . . . . . . . . . . . . . . $2.12 Balance Forward............................... -$35.50 Service Charge .. . . . . . ...... . . . . . . . . . . . . . . . . . . $28.00 Late Penalty. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $7.50 1 Water Works Subtotal........................... $72.81 Water Works Subtotal . . . . . .. ..... . . ... . . ..... $72.81 City of Waterloo Subtotal.....I.................. $110.25 City of Waterloo Services $183.06 Total Current Service Charges.................... Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $52.20 Total Amount Due.............................. $147.56 Storm Water Fee. . . . . . . . . ... . . . . . .. . .... . . . . . $8.25 Amount Due After 07/05/2019................... $154.84 Garbage. ..... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Extended Yard Waste. . . . . .. . . . . . . ... .. . . . . . . . $9.30 Yard Waste. . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal. . ..... . . . . . . . .... . . . . $110.25 ��p �� p . ® a 03/04/2019 05/30/2019 115 Actual 127 Actual 12 is SPECIAL MESSAGES 6 LLu V 12 G 10 m 6 ID fi a a All" 4 'YO n0 �0 'Yo 4 .0111 `lo Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO; Account Number: 116826-540246 WATERL00 WATER WORK � �� !��.+ � 147.56 _ . Amount Due After: 154.84 P.O.Box 27 ,i Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: DD Marci Willey 126 Lobdell Rd Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO,IOWA 50704 Please check box if contact information requires updating and indicate the change(s)on reverse side WATERWATERLOO S X S.JRKS Phone: (319) 232-6280 LOO �� www.Waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES mU,111 ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 03/13/2019 ervice Address: 126 LOBDELL RD Billing Due Date: 04/03/2019 Waterloo Water Works Services Previous Balance............................... $147.55 Water. . . . . . . . . . . . . . . . . . . ...... . . . . . . . ..... . $37.22 Credits/Payments.............................. -$154.83 Water Service Excise Tax. . . .. . . ..... . . . . . . . . .. . $2.24 Balance Forward............................... -$7.28 Late Penalty. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.28 Water Works Subtotal . . ... .. . . . . . . . . . .. . . . . . . $46.74 Water Works Subtotal........................... $46.74 City of Waterloo Services City of Waterloo Subtotal........................ $112.65 Sanitary Sewer. . ..... . . . . .. . . . . . . . . . . . . . . . . . . $54.60 Total Current Service Charges.................... $159.39 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $152.11 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/03/2019................... $159.61 Extended Yard Waste. . . .. . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste. . . ... . . . . . . . ... . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $112.65 • 11/29/2018 03/04/2019 102 Actual 115 Actual 13 16 SPECIAkMlESSAGES IL 144 V 12 U 10 m 9 a 4 w 4 7 2 0 w2' p9 06 66 "^ 6A 61 1P ,, ^^ �6 s6 N6 ^6 ,10 �O iy6 ,�1�1 'Ip ,�O ry6 ,�6 r10 Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 116826-540246 WATERLOO -T �i { i Total Amount Due: 52.11 Amount Due After . 159.61 P.O.Box 27 Zing Due Date: 04/03/2019 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: ADDRESSEE: Marci Willey • 126 Lobdell Rd Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO,IOWA 50704 Please check box if contact information requires updating and indicate the change(s)on reverse side WATERLOO WAJJ &gRKS Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES 11011 111E Elm=g 7ervice omer Name: Marci Willey Billing Frequency: Quarterly unt Number: 116826-540246 Billing Date: 12/12/2018 Address: 126 LOBDELL RD Billing Due Date: 01/07/2019 Waterloo Water Works Services Previous Balance.......... .. ..... ...... ..... ... $151.64 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.42 Credits/Payments.. .... . ... . . . .. .... .... . . ..... -$159.11 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $2.13 Balance Forward ..... .... ..... ........ ..... .... -$7.47 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.47 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $45.02 Water Works Subtotal. .......... ...... ..... .. .. , $45.02 City of Waterloo Services City of Waterloo Subtotal.... ..... ... . .. . . .... . .. $110.00 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges.. ... ... ..... .... . .. $155.02 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due... .......... ... ... ..... .. ... . $147.55 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/07/2019. ....... . . .. .. ..... $154.83 Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $110.00 08/30/2018 11/29/2018 89 Actual 102 Actual 13 ,6 16 LL 4 1 U 12 U 10 b 6 m 6 A 4 x 2 J 0 1Pd5 ,gyp' ♦� ,�9 1• �1' �1• ^0 ^0 �0 ,vp ,yp .�0 �O Rp �p .gyp ry0 ry0 Please detach and return the bottom portion with your payment.See reverse side for additional information s Account Number: 116826-540246 WATERLOO WA eE_R WORKS _ Amount Due After: 154.83 P.O.Box 27 Waterloo,Iowa 50704 " Phone:(319)232-6280 Amount Enclosed: Marci Willey 126 Lobdell Rd s Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO.IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s)on reverse side WATERLOO WA T W RKS Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES ffmimmo ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 09/12/2018 ervice Address: 126 LOBDELL RD Billing Due Date: 10/03/2018 Waterloo Water Works Services Previous Balance. ..... ..... ..... ...... ..... .. .. $149.97 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $39.28 Credits/Payments. .... I.... ..... ... .......... .. -$157.35 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $2.36 Balance Forward... ........ .. ... ... ..... ..... .. -$7.38 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.38 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $49.02 Water Works Subtotal.. . .... . . .. . ... ..... ......, $49.02 City of Waterloo Services City of Waterloo Subtotal ..... ..... . .. ..... ..... . $110.00 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges. ..... ... ..... ...... $159.02 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.... ... .. ... .. ...... ..... .. .. . $151.64 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/03/2018.. ...... . . . ... . .... $159.11 Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $110.00 05/31/2018 08/30/2018 74 Actual 89 Actual 15 6 6 1A U U 1 U100 _ m 9 O 6 N 2 J z 0 ------ ------- Please __._Please detach and return the bottom portion with your payment.See reverse side for additional information �y ® Account Number: 116826-540246 ATERLOC3 1/VATR WC)RKS l-: r j.'.' " "iw , 2` ! Amount Due After: 159.11 P.O.Box 27 ' Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed. Marci Willey 126 Lobdell Rd ° Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO.IOWA 50704 ❑Please check box if contact information requires updating and indicate the change(s)on reverse side V1/ATERL O WA , WORKS Phone: (319)232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES rccernvice omer Name: Marci Willey Billing Frequency: Quarterly ount Number: 116826-540246 Billing Date: 06/15/2018 Address: 126 LOBDELL RD Billing Due Date: 07/09/2018 Waterloo Water Works Services Previous Balance.. .. ... ..... ..... .. . ..... ...... $147.90 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $37.35 Credits/Payments... ... ..... ..... ... ..... ..... . -$155.18 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.62 Balance Forward.... ..... .... . ...... . . . ... . .... -$7.28 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.28 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $47.25 Water Works Subtotal ..... ..... ........... .. ... $47.25 City of Waterloo Services City of Waterloo Subtotal... ..... ....... . . .... ... $110.00 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges.. .. ...... ....... ... $157.25 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.. ... ..... ..... .. . . .... . ...... $149.97 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/09/2018.... . .. ..... ..... .. $157.35 Extended Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $110.00 03/01/2018 05/31/2018 60 Actual 74 Actual 14 1e 6 U 0 1 122 U 10 d 8 p 6 m 2 N Z Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 116826-540246 WATERLOO W1,4947, Amount Due After: 157.35 P.O. Box 27 Waterloo,Iowa 50704e' Phone:(319)232-6280 Amount Enclosed: Marci Willey 126 Lobdell Rd Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO,IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s)on reverse side WA E RLOO WAS Phone:(319) 232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 03/13/2018 ervice Address: 126 LOBDELL RD Billing Due Date: 04/03/2018 Waterloo Water Works Services Previous Balance..... .... .. .. . . ....... .. ... . ... $152.80 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.42 Credits/Payments.... .... . . .... .... .. .. ..... ... -$160.33 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $2.48 Balance Forward . . .... ..... ..... ... ..... ..... .. -$7.53 Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.53 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $45.43 Water Works Subtotal...... ..... ... ..... ....... $45.43 City of Waterloo Services City of Waterloo Subtotal..... ...... ..... .. ... ... $110.00 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.95 Total Current Service Charges. .. . . ... . .. . . . .. . . .. $155.43 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.. . ......... ...... .. ... .. ..... $147.90 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/03/2018..... . .. ..... ...... $155.18 Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $110.00 N AN I s. a. - + 11/30/2017 03/01/2018 47 Actual 60 Actual 13 eAW 6 U 1 U 122 U 10 v 9 m 4 A q 2 ----- __ - ---_..___ — Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 116826-540246 tl/ aRLfl 00 _ iQAT10RK T�lt►41E", :1 R ;, Amount Due After: 155.18 P.O.Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Marci Willey 126 Lobdell Rd ° Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO,IOWA 50704 ❑ Please check box if contact information requires updating and indicate the change(s)on reverse side WATERLOO WLI&W 9RKS Phone: (319) 232 6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES s ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 12/12/2017 ervice Address: 126 LOBDELL RD Billing Due Date: 01/05/2018 Waterloo Water Works Services , 4 Previous Balance... ... ..... .. ... ... ..... ..... .. $161.15 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.70 Credits/Payments.. ........ ..... ... ............ -$169.08 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $2.50 Balance Forward... ... . . . .. .. ....... . . .. . . . .. . . -$7.93 Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.93 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $46.13 Water Works Subtotal.. ..... ..... .. . ..... ....... $46.13 City of Waterloo Services City of Waterloo Subtotal.... .. ...... ..... ..... . . $114.60 Sanitary Sewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $56.55 Total Current Service Charges..... . .. ... .. ..... .. $160.73 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due... ... ... .. ...... . . . .. . . . ... .. $152.80 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/05/2018. ... . . .. ..... ...... $160.33 Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.60 ®. -'I I NOUN I'll .- 08/28/2017 11/30/2017 32 Actual 47 Actual 15 41 u 1 U 122 U 10 y 6 w 4 m A N 2 7 a 10 f�b Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 116826-540246 WATERLOO /?1 RK5fi Amount Due After: 160.33 P.O.Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Marci Willey 126 Lobdell 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 1111/O+ ORKS Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 09/12/2017 ervice Address: 126 LOBDELL RD Billing Due Date: 10/03/2017 Waterloo Water Works Services Previous Balance.. ..... ..... ........ ..... ...... $159.97 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $39.20 -$167.85 Credits/Payments... ... ..... .. ...... ....... ... . Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . $2.75 Balance Forward.... ... . . ... . . .... .. . . ... . . .... -$7.88 Late Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.88 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $49.83 Water Works Subtotal .......... ...... .. ..... ... , $49.83 City of Waterloo Services City of Waterloo Subtotal. . . ... .. . ... ... . . .. .. ... $119.20 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $61.15 Total Current Service Charges.. .. ...... ..... .. .. . $169.03 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due........ . . . .. . . . . . . .. . . . ... ... $161.15 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/03/2017.... ........ ....... $169.08 Extended Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Yard Waste. . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $9.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $119.20 05/31/2017 08/28/2017 15 Actual 32 Actual 17 16 X14 LL 12 V 10 _ g m g m 4 2 __..__------------ .....__ -__- __-- Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 116826-540246 WATERLOO WATER WORKS Ft - Amount Due After: 169.08 P.O. Box 27 Waterloo,Iowa 50704 � � Phone:(319)232-6280 Amount Enclosed: Marci Willey 126 Lobdell Rd Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 WATERLOO,IOWA 50704 Please check box if contact information requires updating and indicate the change(s)on reverse side WATERLOO WAAR WORK'S Phone: (319)232-6280 ti www.waterloowater.org 325 Sycamore Street Pate 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Millimmillillillillinllow ustomer Name: Marci Willey Billing Frequency: Quarterly ccount Number: 116826-540246 Billing Date: 06/14/2017 ervice Address: 126 LOBDELL RD Billing Due Date: 07/06/2017 Waterloo Water Works Services 11 Credits/Payments......... ..... ... . ... . ..... ... -$105.00 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.91 Deposit Charged.... ..... ..... ...... ....... ... . $105.00 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $2.52 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $38.43 Water Works Subtotal ..... ..... ...... .. ..... ... $38.43 City of Waterloo Services City of Waterloo Subtotal.. ..... ...... .. ..... ... . $121.54 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $57.04 Total Current Service Charges. ..... . .. ..... .... .. $159.97 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.17 Total Amount Due.. .... ..... . . .. .... . .. $159.97 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $35.00 Amount Due After 07/06/2017.... .. . . .. . . . .. .. .. $167.85 Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $10.33 Yard Waste. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $10.00 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $121.54 03/01/2017 03/02/2017 0 Actual 0 Actual 0 03/02/2017 05/31/2017 0 Actual 15 Actual 15 6 1 a U 2 U U -2 A w a fi O^ OQ Please detach and return the bottom portion with your payment.See reverse side for additional information ® Account Number: 116826-540246 WA`I RLaC WATER WORKS urtt MR. Ito W Amount Due After: 167.85 P.O.Box 27 � � � t.' r L, �,�; -E#7 17 Waterloo,Iowa 50704 , `_ ` Phone:(319)232-6280 Amount Enclosed: Marci Willey 126 Lobdell 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 Budget Amendment Descriptions for 8/12/2019 Finance Committee Meeting Agenda: 1. Approve the project budget for the Byrne Justice Assistance Grant for the Tri-County Task Force funded with a federal grant in the amount of$195,640, with$101,657 to be used by the City of Waterloo and $93,383 to be used by other agencies, submitted by the Police Department. Please use this for project budget descriptions on Finance agenda. Do not need to include this cover sheet in the Finance Committee packet. � �� -� � u�-,::.�.:� ..�� -. .��.-,�u� -,��.� . �� CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee g Approval Date /� \ Project Name(from page one) Byrne Justice Assistance Grant FY2019 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. I I 11TRI 01011 1160 Subproject No. TF20 (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 1150 1160 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 3373 Fed Pass thru for Iowa - 3111 Hotel Motel Tax 3377 EDA Grant 3720 Donations - Restricted 3370 School Share Liaison - 3349 Byrne Grant-Tri Co 101,657.00 93,983.00 195,640.00 TOTALS $ 101,657.00 $ 93,983.00 $ - $ $ 195,640.00 EXPENDITURES: 1111 Salaries - Regular $ 101,657.00 $ 101,657.00 1112 Salaries- Part Time - 1121 FICA 1122 IPERS - 1123 Disability - 1131 Health 1114 Overtime - 1130 Employee Benefits - 1302 Outside Agencies 93,983.00 93,983.00 TOTALS $ 101,657.00 $ 93,983.00 $ $ - $ 195,640.00 ignature Ifept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\cs Project Budget Worksheets 15\TF20 pg2 (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Byrne Justice Assistance Grant FY2020 City Contract No. 17-JAG-302508 To be assigned by the Finance Dept. Project Manager Director Trelka Project No. 11TRI - Project Budget Total $ Subproject No. TF20 1. How will this project be funded? A. Federal Grant Yes 0 No ❑ CFDA# 16.738 % Paid by federal grant 50.00% Grant Name Iowa Byrne-Justice Assistance Grant Program Grant Agreement Number 17-JAG-302508 B. State Grant Yes❑ No ❑x Pass thru % Paid by state grant Grant Name Grant Agreement Number C. City Match Source of Funding Property taxes % Paid by City D. Other Entities Yes ❑ No ❑x % Paid by other entity 50.00% Name Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) ❑x ❑ Yes No 3. Does the project include the purchase of right of way or other real property? ❑ ❑X If yes, will real property purchases be reimbursable under the grant? ❑ ❑X 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 ❑ ❑X B. Publication, or printing costs ❑ 0 C. Others, list ❑ ❑X 5. Does this project cover any regular full-time salaries or benefits? ❑x ❑ Lt. Feaker, Inv. Del Valle&Zubak 6. Include a brief description of the project in the space below: (REQUIRED) The grant funds the salary of(3)Tri County Drug Task Force members: WPD: Feaker, Del Valle, Zubak CFPD, &BHCSO & BHCA Page 2 must be attached and signed. K:\shared goodies\forms\cs Project Budget Worksheets 15\TF20 (Mar 2010) IOWA BYRNE JUSTICE ASSISTANCE GRANT (JAG) PROGRAM Governor's Office of Drug Control Policy Pape State Office Bldg.,5th Floor. . 215 E.7th Street;Des Moines,Iowa 50.2119,(515)",725-0300 JAG CPDA#16:738 Grantee; Grant 417-JAG-302508 City of Waterloo Grant Period:July 1,2019 June 30,2020 715 Mulberry Street Waterloo,Iowa 50703-5714 Federal: $195,640 Match: $65,213 Total: $260,853 ODCP Contacti Dennis Wiggins 515/725-031`1 Legal Applicant; Prograrri Director: Quentin Hart Daniel Trelka E-mail: trelkad@waterloopotice:com This grant is subject to the terms and conditions igcorperaied either dirkay or Indirectly byreference in thegrantprogram legislation,the grantprogram request for proposal,and the stipulations,if any,noted under"Special Conditions" Except for any waiver granted explicitly elsewhere in this grant, this award does not constitute approval of waiver from any Federal or state statutory/regulatory requirements fora United States Department of Justice grant. The grantee agrees to perform 011services and furnish all supplies set forth in the application of this grant award for the consideration stated herein. This grant consists if the application for funds, the grant award notice;the budget documents,the standardgrant conditions,the reporting forms,and all approved grant revision documents. All parties to this grant award acknowledge that they have fully read and understand this contract, and agree to abide by the terms sed forth within. SPECIAL CONDITIONS Law enforcement personnel funded in whole or in part with these grant funds will complete,Department of Justice required online (internet-based)task force training.All task force members are required to complete this training once during the life of this award, or once every four years. The training Is provided free of charge online through'13JA's Center for Task Force integrity and Leadership(www.ctfii.org). Officers should use the preauthorization code QXGS4 when completing the course. Project activity funded through this award will comply with all state and federal laws and guidelines. Projects are referred to PATC with questions regarding the appropriate expenditures of state forfeitures. In witness wherefore,the parties hereto have executed this grant the day and year specif below. ^� SIGNATURESMATES . 61•�-l4 y�.yetq Legal ApplicantlDate am • &r/Date ODCP Adrninistrator/Date Iowa Governor's Office of Drug Control Policy STANDARD GRANT CONDITIONS CERTIFICATION Legal Applicant & Program/Project Director City of Waterloo On behalf of, (agency) Tri-County Drug Task Force I have read,understand, and agree to abide by the Standard Grant Conditions for the Iowa/Govemor's Office of Drug Control Policy Grant Program. Quentin Hart, Mayor �� (Legal Applicant—Print or Type) (Signature Legal Applicant) (Date) Dan Trelka, Chief of Police (Program/Project Director—Print or Type) (Sid r 'rogram/Project Director)` (Date) Iowa Governor's Office of Drug Control Policy STANDARD GRANT CONDITIONS CERTIFICATION Contract Services (If Applicable) (contracting agency)has entered into an agreement with (Legal Applicant) to provide services through a grant provided by the Office of Drug Control Policy. The applicant agency has provided a copy of the standard grant conditions. I have read, understand, and agree to abide by the Standard Grant Conditions for the Iowa/Governor's Office of Drug Control Policy Grant Program. (Signature Contracting Agency) (Date) 26 IowaGrants https://www.iowagrants.gov/printComponent.do?property(docume... 7777777-- lowaGrants.gov Grant Details Grant/Project: 17-JAG-302508-Tri-County Drug Task Force -2020 Status: Underway Program Area: Byrne-Justice Assistance Grant Program(JAG) Grantee Organization: Waterloo Police Department Program officer: Dennis Wiggins Awarded Amount: $195,640.00 Personnel Position/Title&Employing Agency Match Federal Total Fed& Percentage Priority Share Share Match Waterloo Police Lieutenant Jason $13,060.00 $39,179.00 $52,239.00 0.25 1 Feaker Waterloo Police Investigator Zubak $10,656.00 $31,968.00 $42,624.00 0.25 2 Waterloo Police Investigator DelValle $10,170.00 $30,510.00 $40,680.00 0.25 3 Cedar Falls Police Investigator Marcotte $8,928.00 $26,785.00 $35,713.00 0.25 4 Black Hawk County Investigator Isley $8,852.00 $26,556.00 $35,408.00 0.25 5 Black Hawk County Attorney Westendort $13,547.00 $40,642.00 $54,189.00 0.25 6 $65,213.00 $195,640.00 $260,853.00 Fringe Benefits Position/Title&Employing Agency Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Overtime Position/Title&Employing Agency Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Equipment 1 of 3 8/7/2019,8:10 AM IowaGrants https://www.iowagrants.gov/printComponent.do?property(docume... Item Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Training Training Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Operating Expenses Expense Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Consultant Fees Name of Consultant Service Provided Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Consultant Expenses Item Location Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Contracts Item Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 Travel Purpose of Travel Location Item Match Share Federal Share Total Federal&Match Percentage Priority $0.00 $0.00 $0.00 2 of 3 8/7/2019,8:10 AM IowaGrants https://www.iowagrants.gov/printComponent.do?property(docun Total Budget Total Awarded Amount: $195,640.00 Total Match Amount: $65,213.00 3 of 3 8/7/2019,8:10 AM