Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Approved Documents - 8/26/2019
FINANCE DEPT. STAFF ONLY LINE ITEM USED Sap b- ,;�UO !3 4.(0, TRAVEL REQUEST FYAOAQ BUDGETED &aoo "� CITY OF WATERLOO EXPENDED YTD 1-7o THIS REQUEST /A sv LEFT AFTER THIS N. REQUEST S�) DATE 2WLd Original-Clerk/Finance Co -Department NAME(S) AND POSITION(S): DATE: Kathy Skillings-Lab Foreman 08/16/19 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 120.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO Revised TOTAL FOR ALL: $ 120.00 TOTAL: $ 120.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF W/�.T.ER PARTM MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED /;4(& TRAVEL REQUEST FY Jd WO BUDGETED 1p 00 6) CITY OF WATERLOO p EXPENDED YTD TO THIS REQUEST LEFT AFTER THIS ��CQ PVG REQUEST DATES (o !y Original-Clerk/Finance Copy- Department NAME(S)AND POSITION(S): DATE: Kathy Skillings-Lab Foreman 08/01/19 NAME OF CLASS/MEETING: DESTINATION: 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 TRAVELITRAINING: 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 MISCITOLLS YES NO TOTAL FOR ALL: $ 115.00 TOTAL: $ 115.00 PER PERSON 1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY MAYOR 9 DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 m ti m m m C = Up O�m C p m •dU a� yCo` Cy iNLLJm O C C IA W IA C m m a a ° U c°T -`- )O O i o NtO6 ONoi� CO "a ` � d �.N � aC Qym 'iO0 O 3 � C y o om ami d = h ¢ m c d = c o ocm m O O Q E U H m .p C) o cd o tC 6s = oCD Z "=' � o o YU m o a) J a E c m c ¢ �- c E c m i— �s m E c o V 3 _ o hU c .d- o " m ' a .g v 4) d a ` p r m m CL co r c — r C y O U O O N N CU -Y U i Lat 2 z Y U U O E O Q. i +. ml C L C y .2 s mCL 0 l's C O ctsN N H ml m C V n O 4) .h CO p C.) m � m C N m p U U N Ln .1..+ vow E E E ° 0- °a E E E '/' 2 -:K < E E a LV C a 3 E E E m o 6 o E d E E E m o 0 o E y E E E m o o = LO V 'a y m m mO OO Lf) n m m m000 Ln n N m co mono O LO — LO {A �. LC) Lf) LC) Q r. N N O Ln LC) LO O N CV O =. lt) Lf) O r. CNO O L N � m M MC:, U')U') O -Y M M O �- Lo O d' M m p r , > _ 6 D a ti 66 &i �- i , i V L-- co m r , i OD M r , i T E E E E E E E E oc ma p d F' E E E E m m n E E E E E m m n E d E E E E m m LU m �' m m m m o 0 o n m m m m o 0 o n m m m m o o Q Ln Ln LnLn000 U) LnLnLn000 O �nLn n n o L vvvo � CiNt -�rvo � �io a a m m = N 'a G7 o � o p m � H t U r - � � i � � "' Qa Q) > d E a� o i co N o C• io `o E Eo 'O C ` -N y u N O �! w D o O m Cd p > d •CI Q U _ _ m m C c Q 1 '�N = {Q - U G m Cn G W L N :0 LLJ O i 0 U s; Y -�5 O a m Y o Z ° mZ y � `p U • = p p o d w O o N d N O O z MCF) ai O ma ^ e U a) U o �, d o io i p v `0 � CL ya d 3 Ca c o d W 2 d O a C4 0)p o ' � � 3 oa o c a) q) w cy`o Q c o O r .o ate) a) a) y o Na o ani ami ami .� cmo H c a> > o m� m m y a� m aoi a O U E c i m a' O •rA a) c) m a = Cy m ( r y m o � `o ma of � E . a Cr O ca tel- x H c a> > �_ W LL U mC) co m CJ H e � () W co o. m m sQ) EE a� m m K 3 co x a, m o m a a m sn -o E -a C 0 ,� W Lil 'J = CO O _ O d m O U Q] O i W W i E a d o � m c m m m (0 D3 C/) y a� � � Q � m e Lct) CL C O o C> "a = °� S o y C r m o ti U m d ami h °� Z +' = s -215 E m c m o v o a, m o E � a, d w 0 m m o m CO _ S d O h O C m c) `1 w f ' O y 0 C .N � Yca V V O C6 O m r m J O d O m C N O C E m ct; 0 0 ,O •y O W.) Q V a) �s `m m i ¢ O o Um o _ m E � '� UUUU o as CO � '� m E E E C 1- cnU � U of > UUQ = Lij W% m m 0 U CD CD m co OM � +�- Lo Q Q Q Q .� Ln_ Q- Q Q Q Lo 0 CL C- Q. CL 0- 'a Q •= 0 0 0 r N a 0 0 Ln o .- 0 0 Lf) O '� 0 0 Lf) O d 0 N 4) 0 0 0 `- N U L 3 �- O M T O O M r- O i O M O = O d 0 m CD e- W T O d N N M 'd' N N M t 0,• I N N cM V LO ' o E E E A2 a n E E E E �+ n E E E E n E E E E O E co m m a) oo o a �` 3 o nnnn o n. nnn o nnnn V 0- C:) 000 � ocri ch ot3 MLnooL ) CI) Lt700LO M u) ooLn o O LO O m C-3 C-� m O C�j O CO rq O M r — O M O pp c7 O co N N M � � N N CO , N CV M �' FINANCE DEPT. STAFF ONLY LINE ITEM USED ;&_�F� %3qG TRAVEL REQUEST FY A120 BUDGETED 74j1v 'l CITY OF WATERLOO EXPENDED YTD _ 97 THIS REQUEST 9 go LEFT AFTER THIS REQUEST 67 (&;_ u3 DATE —&2a r'7/ -/J Original-Clerk/Finance �Copy-Department NAME(S)AND POSITION(S): DATE: Angi Reid, Education Coordinator August 19, 2019 Tammy Turner, WCA Volunteer NAME OF CLASS/MEETING: DESTINATION: North Shore Mini Storage, 73 Eastern Drop off artwork for Ed Embedey Exhibit. Ave Essex, MA 01930 DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: September 6, 2019 September 16, 2019 September 10-13 PURPOSE OF TRAVEL: To meet with family representative to return artwork for Ed Emberley exhibit, for Junior Art Gallery Ill. The exhibit will be up from March-early September. Expenses to be paid by cultural leadership was Partner grant funds from the Iowa Department of Cultural Affairs. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: 010-26-4265-1346 BUDGET LINE ITEM: proj#26STG-OSG $400.00 LODGING TAXI x GRANT REIMBURSABLE $180.00 MEALS PARKING YES NO REGISTRATION AIRFARE REQUIRED CERTIFICATION 2,800 round trip$300 gas MILEAGE/FUEL $100.00 MISC/TOLLS YES NO TOTAL FOR ALL: $ $980.00 TOTAL: $ $980.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERL O EPARTMENT HEAD MAYOR ��zi / i K:\ hared Goo ies\Forms\Travel Request Form January 2010 DATE DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED 0!U TRAVEL REQUEST FYA0.-10 BUDGETED CITY OF WATERLOO EXPENDED YTD — THIS REQUEST LEFT AFTER THIS REQUEST 6�',! DATE �ta4J e'er/ l f Original-Clerk/Finance Co - Department NAME(S) AND POSITION(S): DATE: Kelley Felchle, City Clerk 08/20/2019 NAME OF CLASS/MEETING: DESTINATION: Des Moines, IA 2019 IMFOA Fall Conference Tau.A �aNiPrpnti 6. g je& Oh°lc� �lSSp/ DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 10/16/2019 10/18/2019 10/16/2019-10/18/2019 PURPOSE OF TRAVEL/TRAINING: Attendance at this conference is required for maintaining the Certified Municipal Clerk Certification. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ YES NO METHOD OF TRAVEL: CITY VEHICLE X PRIVATE VEHICLE AIRFARE DEPARTING FROM: Waterloo ESTIMATE OF COST: BUDGET LINE ITEM: 010-03-8400-1346 0.00 LODGING 0.00 TAXI X GRANT REIMBURSABLE 40.00 MEALS 0.00 PARKING YES NO 125.00 REGISTRATION 0.00 AIRFARE x REQUIRED CERTIFICATION 40.00 MILEAGE/FUEL 0.00 MISC/TOLLS YES NO TOTAL FOR ALL: $ 205.00 TOTAL: $ 205.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO ;/Wj/x/ 4jjylll� 2� DEEPA TM T HEAD MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 KELLEY FELCHLE From: registration@iowaleague.org Sent: Tuesday, August 20, 2019 1:30 PM To: KELLEY FELCHLE Subject: Order Confirmation Dear Kelley, Thank you for your recent order. The order details are below. Kelley Felchle Waterloo Order Number: 18280 Order Date: Aug 20, 2019 1:23 PM Bill To: Kelley Felchle Order Total: 125.00 Payment Method: Visa ************8552 Name on Card: Kelley Felchle Item Price Qty Total IMFOA 2019 Fall Conference- Kelley Felchle 125.00 1 125.00 When:Oct 16, 2019 - Oct 18, 2019 Registration option: Oct 16, 2019 - Full Registration Program Items: • Oct 17, 2019 12:00 PM: Lunch - Included In Registration • Oct 17, 2019 7:00 PM: Banquet- Included in Registration Item Total 125.00 Shipping 0.00 Handling 0.00 Item Grand Total 125.00 Transaction Grand Total 125.00 You may receive additional emails about your order as the order is further processed. 1 Iowa League of Cities 00 SW 7th Street, Suite 101 Des Moines,IA 50309 2 FINANCE DEPT. STAFF ONLY LINE ITEM USED e?;?z ,3Z 6Y52) TRAVEL REQUEST FY;a&8UD6ETED iyvv w CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS ;y REQUEST 42c�/tf DATE Original-Clerk/Finance — Co -Department NAME(S)AND POSITION(S): DATE: Jon Martin and Matt Chesmore October 2-4, 2019 Rehabilitation Specialist and Senior Rehabilitation Specialist NAME OF CLASS/MEETING: DESTINATION, Iowa Association of Housing Officials Annual Classes Vl4WJe�- cPAD-Ar A- and Conference DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: October 2, 2019 October 4,2019 October 2,3,4 PURPOSE OF TRAVELITRAINING Continuing Education-20 hrs- General Information on Building Inspections/Healthy Homes Principles/Pest Concerns 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: 224-32-5850-1346 LODGING TAXI x GRANT REIMBURSABLE 70.00 MEALS PARKING YES NO BG21A.ADMN 600.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 670.00 TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO (I=1:i�z � — '�..- DE ARTMEN EAD MAYOR � -.-)-0 -\C� DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 a ° n oo. n No 00 � N3 0 0 > > n3 00M ° 0 0 m 0 (D d �• p PL I d n n w 3 < < o w d \ (�D A � Q �i 0 n � .01+ R0 < go W Q0 Ln L, �, (D rn p 1. S •G CL � � O a) W C. � C j. ul Ln D l n ,� n 00 Z 001 Q T O ° v I o m (0 m V, m n a m Q =n Z 01 3 Qp * a M -`n rn0 D `� I -y n °�,' a v d a e1 O. h C ML Ln D y o o `� u' ID W �' d 3 nTi ° v 7 < D n A 3 O Ul 4A M 0) y O (D y (D N W 3 \ Q 0 rt •G w '^ o Ln O w = LO V D o. R0 0 < C ^• Fes+ A z 3 Cn I V Vo o W `� � Ao No T rD 3 � (3D W C zro rj �O N N A N W N 0) of (D C. OQ O — n O O �D W W W O N F+ (D O W A O fD 3 C (D 7 A O N W A W In O l0 tD CLI O A � n C 90 Iowa Association of Housing Officials Attn: City of Marshalltown, loan Helm 36 N Center Street Marshalltown, IA 50158 � v D CL 0 0c D D] n N F+ lC1 rt O. (D d W C —his ((D ((A •�•r � M 00 M (D � 3 H (�D fND ^' v v A 3 7C x A 3 G) 0 3 v H C" = O (^ Sh O 3 n rn (D < N 7 ^ (n (D 3 Oq A •d+ C) O 0) O -h rt H n 'O 3 N rF O 3 0 n 3 (A Da " A 3 s 3 � Q o a O n 2 3 O LA EL-o 0 o x X C _ v .. d s s Q' A) � !y 0 a `D ro s N 3 0 d0 0 3 �, ~' C -nju m m vii H y (n m '� (D (p QD �^. .� W 3 O 3 :^ A A M O. �+ A C. 3 O p0 3 p M — H D1 A (D O W F� O 3 A M O C_ c 7C A n O Do ,3� 3 n !y 0 o co C 3 cn W C a) ? D m 3 0. 3 N O n O fD rt C 3 3 'a 3 O- O (A 3 �• s ADN a4 m N d 3 �, _• w rt a) ?4 o a A M s W v S p •G — a N 71 � .. A c N m m M r C rso oa o rD o o u, n CO c rD o° rD w m d (D o? F a ° m m a a < o 3 m C 3 m x — H w — a s c n y� 7 �` N d O `^ O 3 '9 3 a O V C d ,+ v -.� 3 7 = �. x .Ne 3 7 rt d v 3 3 d DJ �• ° =. -0 00 N m m < ,nr rD Vr O .�. m — _ cu vi A fD S M '! W 'N'" W m O O -C3 K 3 O n ^ IID N � n. v. 2 O< 3 N 3 n O ,~ O d OQI N C = 7 O -0 < -0 m m n O1 a a - N -O m rt rD 20 w _ 7 lu d r a m w y .x-r " m ami+ laD fCl d uCi "' O n n, m A H n 00 7 w G O — `C O .3•r O A > > 3 3 m 0 I M D n °: m M. 0 0 m u m o ^ <M c n "�• O m s a ? m M C ^T a .�. m o _^. �+ -°o z o n ° ^ < n m as � 3 .^. m m „ f m ' 3 0 0 S 0 n < 7 03 O' w w Or D, 0 v M 0 a m S l vrti O " r�D O O' w m O O' . rt (D n N .n. 00 6 H N n ° v d •0 ? K m d w - < ,< N = 3 < `-'• 2 0 z S m 7 C O C 6 O W 0 S a 3 -p < °- or ri m vCi N. D O 3. 7 7 d ,3.t O rt O O O< <. O V N n d rt m m m w 0 0 0 m n 3. O d m 0 :r M O. M d N m rt m m d a < o o c a o rD 5 D, o M s F ua rD v a < m 3 0 m f .. N I < .. 0 O 0q 00 rr n m n n 7 .. cr • Q D f+ �n O m o o r m . < < S ° j S o o a C s m �o m ' s 7 M 7C m 3 v N K do O n rD 3 a ° 7 0 O vOi .. T f 3 I 2 O �n ti. O C 7 S .0. d 3 .L.r o O m S 7 0 C m n C Q m o o M O F rt 7 m C t7 a F ° c a O. "O Q0 .. n 3 n rD ut 0 0 7 d S N _ S '� p vfu � m m y �' m ,Y M K j Oa' O OA 0 3 S -NO n m F n n n n 0 3' 3 (7 O .. �n oo c n n - 7 m n N 3 ; 0 0 n ,� 0a rD O .0 •.• O rt ° ._.. O 0 6 = _ go N O ^ Ort 3 Mvcr 0i r 7 M N m CL o w v m U 3 0 3 0 0 � o I n 0 3 S a K 3 m m o 3 3 o o -i x o ;K 2 m n o o m N � o o W �' 0 3 d N v. m Dm -W• m o o C --0 (DD nm y rD ° rD fD 3 � c m w (D 3 o ami 3 D' CL < °a s �. 3 a w o m n �W (D , O .* S=r 0m n ° O 0 7c rt 0 Q 7 c ,Y 0 v, m '* < DO n rD iD v ° ? 0 Q S c -0 aoa m m n m m o 00o n H w n a o'o mm r'o -m0 o F. s n 3. o D� o < x . F a Q ... i S �. O m 0 V1 6 j !<'f y N .3-r C 000 K N 'O .dr .moi Vi n S .3r < n `^ �' N o0i 6 x m ° N < 3 O Gl 7 C C Q d O .Nr, '�" < %0 G " O� -0 O 7 N O Q N ° 7 N rQD N r(D � m CL N C m O0 3 C O m m d n N (D M Ol a 'T T. 0 a 3 �. 3 M < < < 3 7 o' o n o o ^D r- n' ° o ° o d D H m o m v o 3• m mD o Q m o < o < ° = m Q. ut a o n , n C C 3 <rD Ln n y N -0 3 O .+ N ° ° S O .�+ �L c< _^ 90 0 � .O. �• O S O r�D C vii t�ii •* O 3 m 20 I O O/ K m '� :t m O .O O = (D N umi 5F m 7 7 m N v+ " m m vmi Q m co n. 7 .Nt M < 0. rD. m a n in v+ y = - O C 3 3 7 7 7 Ol "� d C O m 0 d umi a 7 d m 'O•r 3 vO/i H Q/ fN1 'B O �^ m Oi m = O a "O 7 O 7 �. rt N I a — :D -' T. '* O' 7 C Ol m rr ] (D. O ° O '�•r d ° imn < r<D .20 Q H C A N N 7 < .mi m -0 H d W �Nir , 'a O �. 7 vmi dn0 `_ �.�^ `D n '6 '-' N m Q 0 7 ° �. O M C.-C 7 O rD m N O O .v'+ 7 3 v cr n a m X m Q n ° o o -o r n ^ ao 3 m o 6 m ° fro 0 Oq, n vii '<. m C m •< m 6 i ri �c" n 'a m 0 C m O1 3 a O/ 7 n' N to N N N X p 7 ti O C fD S 0ii , " �• 3 S m N. n O O m �' N �' m 'O a, �^ m go C ami+ 00 of o ° w = �* S -0 ° O 0 m- " a m s v .`^.• dao m 5 N 0 p o c go m w • ID< ° 0 a a H cs 0m o, nm o o ❑ ❑ 0 O cn D2s s w = s d m o y 3 .0 �3oz — o 0 0a n am m o' :E a O 1 a O wv - v m < v �, n D o 3 3 3 m s m o r m S2D s 0 0- M. o< go 3. d d m m 3 0 = 3 ° ^. d v A M '• a M ? m N — F 3 3 m = m o v, a; n - 3 m s m o ° 0° o m W o v CD N A m c m N o s ° c r w c o o m m m x D O n � .r M m ° ° � = 3 m -° m rt u s 3 O w rr N v 3 N cr X w °) D- n O rD 0 3 N m O 3 c m m C" m '*, m .+ N n O ]- rr m w D, m m Q 7 H c C) o m d O 0 m C m S N m 3 ,r I m W '� :•r N 01 O v o o v d „ Do rt m ao ti a 3 3 0 o aoO " m a M = c m o m m C rD FD o rt n c o Dmf 000 C OQ ° D, n o D Q v o m Q o o m -° O Q a� m n w 7 7 c 0. 9 D, m or m S S 7 0 fu C �' v �, < Q m r < in Oi0 rrDD O' - m K m w n rD o m C O ry .W•r < N N crVI ..q I ° a N m _ C v 3 FINANCE DEPT. STAFF ONLY LINE ITEM USED 2S9 /3 TRAVEL REQUEST FY2�OBUDGETED _ 447oo CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST 3 70a DATE - LJ.__ .8_Z/_-Y9 Ori inal-Clerk/Finante 'Copy-bapartnient NAME(S) AND POSITION(S): DATE: 08/26/2019 Dana Jackson, Mousing Inspector/Maintenance Supervisor NAME OF CLASS I MEETING: DESTINATION: Cedar Falls, Iowa Iowa Association of Housing Officials Annual Classes and Conference DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S)OF MEETING: October 2, 2019 October 4, 2019 October 2-4, 1019 PURPOSE OF TRAVEL/TRAINING: Classes will include a general overview of inspections, including what landlords might try to hide from inspectors; information on healthy homes, including how to manage moisture and mold, lead based paint and asbestos; and pest concerns, including cockroaches and bedbugs. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ YES NO METHOD OF TRAVEL: X CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: BUDGET LINE ITEM: 283-13-5452-1346 $ LODGING TAXI X GRANT REIMBURSABLE $ MEALS PARKING YES NO $ 300,00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $ MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 300,00 TOTAL: $ 300,00 PER PERSON BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE 1 APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO v r�L DEPARTMENT HEAD MAYOR IA" r'I � DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 w 3 :2 `t1 ro o d N n N 0 Z S N v M N N .+ n N a N N .e O O w W C O W G `o O to 00 N 3 M O T om. nNao o � N3 03 o n3 tu m � o o tL O M A S a n a m ? Z -' 'z a o y Wd '� G m n C S n5 , v, tnn , •c -c o S 7 y An m °' o �N = W rD yn0.n � o D o roa o c t d o v °p "* M Vl A < O n 3 < Ro m R° rn (Dm '< S <M LnA r D W a A �. I j o c c y c =; I n K LA Ln LA m m Do Z p pTj O p S I4 yS $p �n n O ED 9U�' r.*p vmi :^ `M W a a S 0. O G. O 0 d 3 A *1 d vi _ D °; n D 1 a i D n N a , m �' obi �' f1 a 1n C cLn Mo n a Ui O ,S toM W0 CL „ m 3 T o O m A rn � W n n � � ra c^ Q O IC (D T tD rp ,..' o V w Np Ln I a w � > R° O G C rn Y 1 V I J W O V O W N N A , (C 7C O `z 3 w u G 4W., FN., tor., oN a n, '� o m a m a pip O G. iD ” z m � io pow ww I not NN eo w o m G M 94 WSW p Qom+ A O N W A W In Ol O lD '� 1 O M A � Iowa Association of Housing Officials Attn: City of Marshalltown, loan Helm 36 N Center Street Marshalltown, IA 50158 w S D m I Z o 0 n) = c x- Q m � c N A O O n M M M O u0i A (M m ISl -h <_ O d fu O z A t ,_. m � d s x O. 0)oi de cr 0! Oa- 0 d O. Q 7 W �. m � m y O O O_ -Ow p y n CU m to y. =i _ LA M "a MN K A fp N -< A N O = n n N N 0 CA n a = 0 3 'a = M n W QO O "c 23 m o y c c n o an 17 �; a 7' .Ar an LA 00 y o. N d 7 n, ?.r CX w O -A pl• 3 m ao 0 A '^ A < < ao v w t fD 3 d c K n �G W G 7 OG O Ur c � s w M m m m r a = ro Q r c_o m dno t'. a w 0 0 m a o H M o a n a o -,J c 3 cD O 3 ow o a ao a D7o m £ °< .^ m ° 2 o ° E _ = N s A s m a `c o a 2 3 -P ^. oa ° ° n. N c 3 S '° ° 0 � w .. » 3 a Q m StDpa p Ea mm c n W C QN -^ D, •O xm m 3, ci ^ m wo er v m O 3 3 w r D ro .R W m x ^ ro• ( N A W vOi �_ n _n m ,^p n w C ° N ° 7 = `c 3 O d_ 3 3 c N O I , iD n N S m •+ m m c a a x N c A a o ^• ;m c a ° °. n K m a 3 d g ro o m < 3 w o D C > a a o o n o m 'm I N o .r^ o t •1 O. W 7 .� N Dl N =< FJfmi m DQ °• N N ti O W -0 w m T .1 3 .. s a 3 �e r 3 < Q a m c a n 3 3. , 3 3 _n o p o c t + = n - o c .3•r m m m t0 a O Q 3 N n '^ 7• O 7 0+ m 3 7 ,� ro G 'D N m ^� M m n a 3. I < _ Q `" °a on °1 � m s °n n 3 :: a- z• a 3 D In N N E m m 0 ,C'< S O O Q c 7' m w to S N 3 p r: x m 3 £ m E ro c Da a A m 3 v ° 3 3 o N .. o^, £ 1 z 3 o N 3 s m a = d n m _ y < ? p 0 3 n 3 n a o £ a _ o O L 7 S .. .�. ° O m 0 u7+ c 03 m n C ro c m m C A N E 7 N C N �. a �' n 3 n m N w 0 3 p• S ~ -°� � < z t, m m DKi m =•. •�-• 7 Dq O tm ° 3 �. .O m ,� n Lt N a to n N 3 m n p O t7i .7i 970 /3D O .� •3i O O �. �n P C ^ ° O m a o oc, m R0 cm < r=o Q N m c n m o 3 m m n M, m c 4, N to n` 1 P U R o g v =M N s o S o o = v I A p ". v $ 3 x 3 n 3 x n ? m -i x o x x m o r a ° m N a i m a N O ; C a M 7 N. A ami d, m O o c A 9 m w ' 3 m n oro m 3 �,• tom o, m c7 m N m v o m x 3 m 7. 3 a f d an ._ n 3 c £ 7 �. ^ C N n ° 30 7 or .Ni 0 Q E. C .3-. �. m ^' *c m n' m :0 A a ° ? 0 CL S a ro N =Mr -v O s 3 0 w n a to n ru c v � � . � a3o maoD°o. Qroc W ca. m Ari 0w m ao o E. sn� ? 0 nx p^ c x CA Q ° Dl n v=i ^ d .7. 0 000 r m a m En f01 OS 3 ?.<' :: •,^ry H• „ N G d x m ° S vii � j O 3• n w 7 ° i oa 3 ;� °: E p x m O N Q O 3 ° -di uwi m 7• G. m u°1i �• m ° A W vii N n Q _ '_' = N K O O a m m - .3. :D c N. Q 0 3 m 7 A A ° •p f a 3 0 ° n E m s o N m m N ^' m = 3 = O 7 n O p N n fi CL o o a N O. n to R O M W 3 A N M 3 d N O ..{ O •GT 7.< x m n N Q O .Tr .n. G c 7. m .N• 3 a N e 'O 3 O .� d -0 a ^ O .3•. 0" Ra O 0 7 r. --{ N 3 .� 7 .� D! O DI .� (2D . N c ? 3 e•i i+ lSD 7 _ O r�o > > m o N No " m a v °0 v n = A m Q (ja m 3 a c o m x �. 00 ^ 3 7 7 = 'n` w C o m o d N Q 7 d m .7. �' N Iii °' n •O < w m 00 •° o c T N <0 - O Q ti a 7 3. -� 3 r .. ro •� _C _ (D ... .. C 3 c w m ^ 3 ° •' O ° 7 .N,. Di ° ymi K m N C A in' 3 x ,m•. m a N ?� PO N •p °� �. 7 CLw O E H :0 n N .-. d t^„ m N 9N 7 0 00• o m ro 3. .•. m Sr d l0 N' m w at Q A a m ;+ n m Qn 7 O 3 -0 Qom; L). au 3 O g: M, 3 f20m TG 7 n H < m C m < m Q .^z _. x -p m 0 c m a, 3CL v w 3 n w N N m x+ Q N '^ T °_ m m m � v7 ^ 3 3 c 9 a ^ ^ 3 N n rD p 3 m '` oa m •° v' m f20 -Ci H D0 .+ C d 3 -< 070 x " 3• 3 ° ' O Q ^ ^� Q ro ^ 0 m H 3 0 ° >p m ^ n j < P 3 °• OQ ^, n3 0 3 s sDm O =r a o 013 `G n D to z C ncnpxv Q9r ^� � 3 o c3 iso D = � n z o 0 0 .< °a R 9 Db awl °' � -mi. 1DC1 £ v £ ? fl a 3 0• ro o ° -, o x x Ra m - t3D = m Q 3 E O N N _. m c m � I m 3 7 ar3 , = H �_. m -< H $ n c 0 3 0 3 m �" H ro T Z ro ro ro ro ro m Ra 3 3 0. 7 N O R'0 ? d of ro m 3 3 a - 01 p m t K 4 =. L =s 3 � R a m4° ID CL �o � ^° ^• m m tr c < 3 n 0 m m O^ 3 > cr > a m .. u'++ M cr m :a �' s 3 3 p of ai 3 - c n O N 3 a X N 3- r a 3 = w 6 ^. m .N. N n Oro W O ro m Ql O_ 7 N E o m m p 0 3 c m S N m 3 �. 1 m W ^ N m 0 34m S ° w3 a ° m im M v 3 �' 3 z uti pw r1 n+ a N ° O m 3 7 7 7 A N n' x DRI ° O G fD m rb° 0� .nom D m Q uCi a a d o x c c ua 'C' m o p m n a 3 cu m = ° m m rD n O 4 m m N a cr -. FDro f 0 CL N Er N p -r , S DI o m a c a = s O c !^ O_ (D m 3 - N 3 FINANCE DEPT. STAFF ONLY LINE ITEM USED 1o_22 6-/00 /311 0 TRAVEL REQUEST F4020 BUDGETED -- -l CITY D-- CITY OF WATERLOO EXPENDED YTD THIS REQUEST (pOH LEFT AFTER THIS REQUEST �QU3 DATEw Original-Clerk/Finance Co -Department NAME(S)AND POSITION(S): DATE: Jennifer Sparks, Permit Writer 8/16/2019 Scott Strader, Combination Inspector NAME OF CLASS/MEETING: DESTINATION DEPARTURE POINT International Building Code IF NOT WATERLOO Johnston, Iowa DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 9/11/2019 9/11/2019 9/11/2019 PURPOSE OF TRAVELITRAINING Continuing 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: 010-22-5100-1346 LODGING TAXI X GRANT REIMBURSABLE 15.00 each MEALS PARKING YES NO 289.00 each REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 608.00 TOTAL: $ 304.00 PER 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 MAYOR 4"� RATEared Goodies\Forms\Travel Request Form January 2010 DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED 0/0 .�? 5-/UD_/3 c/( TRAVEL REQUEST FY.?d.W BUDGETED (aoa CITY OF WATERLOO EXPENDED YTD THIS REQUEST 7,20 n� LEFT AFTER THIS REQUEST DATE Original-Clerk/Finance Co - Department NAME(S) AND POSITION(S): DATE: Greg Ahlhelm, Building Official 8/16/2019 NAME OF CLASS/ MEETING: DESTINATION DEPARTURE POINT 2019 Fire Prevention & Building Safety Education IF NOT WATERLOO Conference Des Moines, Iowa DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 10/22/2019 10/25/2019 10/22/2019 thru 10/25/2019 PURPOSE OF TRAVELITRAINING Continuing 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: 010-22-5100-1346 325.00 LODGING TAXI X GRANT REIMBURSABLE 100.00 MEALS PARKING YES NO 260.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION 35.00 MILEAGE/FUEL MISCITOLLS YES NO TOTAL FOR ALL: $ 720.00 TOTAL: $ 720.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF r,ATERLOO DEPARTMENT HEAD MAYOR RAtEared Goodies\Forms\Travel Request Form January 2010 DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED L /34f6._ TRAVEL REQUEST FY.202v BUDGETED Govo CITY OF WATERLOO EXPENDED YTD o27�7 ¢ THIS REQUEST LEFT AFTER THIS REQUEST o�sGj13 `� DATE ;7cy 8'/4-ly Original-Clerk/Finance Co -Department NAME(S)AND POSITIONi DATE: Jeff Siebel, Commercial Property Safety Inspector 8/16/2019 NAME OF CLASS/MEETING: DESTINATION DEPARTURE POINT 2019 Fire Prevention & Building Safety Education IF NOT WATERLOO Conference Des Moines, Iowa DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 10/22/2019 10/25/2019 10/22/2019 thru 10/25/2019 PURPOSE OF TRAVEL/TRAINING Continuing 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: 010-22-5100-1346 325.00 LODGING TAXI X GRANT REIMBURSABLE 100.00 MEALS PARKING YES NO 260.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 685.00 TOTAL: $ 685.00 PER 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 MAYOR IiI0I'iared Goodies\Forms\Travel Request Form January 2010 DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED TRAVEL REQUEST FY QBUDGETED �11C) " CITY OF WATERLOO EXPENDED YTD — THIS REQUEST --,/VO LEFT AFTER THIS REQUEST DATE Original-Clerk/Finance Co -De rtment NAMES) AND POSITION(S): DATE: Pat Treloar, Chief, Mike Moore & Ben Petersen, Battalion August 19,2019 Chief. Jason Hernandez, Medical Supervisor NAME OF CLASS/ MEETING: DESTINATION: Dubuque, Iowa Tri-State Emergency Responders Conference DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: October 18, 2019 October 18, 2019 October 18, 2019 PURPOSE OF TRAVEL/TRAINING: Training-Growing leaders through empowerment(GLUE). Interactive Workshop Unified Command Training for Mass Shootings. Presentation and Workshop 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: 010-12-1400-1346 LODGING TAXI X GRANT REIMBURSABLE $60.00 MEALS PARKING YES NO $380.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 440.00 TOTAL: $ 110.00 PER PERSON I BELIEVE THIS Tj1RtFZERVkS A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND I§„p{ 6 Y AND B TO THE CIT WATERL DEPARTMENT HEA6 MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED a j G _/ 71.24 -/3e�S TRAVEL REQUEST FY Zd20 BUDGETED ,.To oC) CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original-Clerk/Finance Copy- Department NAME(S) AND POSITION(S):Tina Schellhorn, Electrical DATE: August 16, 2019 Foreman NAME OF CLASS/MEETING: DESTINATION: Waterloo, Iowa NEC Code Update Class DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: November 13, 2019 November 13, 2019 November 13, 2019 PURPOSE OF TRAVEL/TRAINING: this class is to explain the changes made to the 2017 NEC with field examples to fully understand the intent. Including wiring, bidding and understanding the 2017 NEC and its implications in the workplace. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ YES NO METHOD OF TRAVEL: CITY VEHICLE X PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 266-17-7120-1345 LODGING TAXI X GRANT REIMBURSABLE MEALS PARKING YES NO $190.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 190.00 TOTAL: $ 190.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO EPARTMENT HEAVIL MAYOR / DATE 1 41 DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 City Clerk Use Only Finance Committee VZApproval Date I`i 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 Clerk's Office Department to expend $ 35,000.00 plus est. shipping costs of $ to pay for or purchase Deductible Deposit (7/1/19 - 7/1/20) This purchase or expenditure is being made because: Escrow account for claims services Vendor selected for this purchase: Travelers F] Bids or written quotes were taken on this purchase, as follows: 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: DGeneral Fund EI Road Use Tax EI Sewer F-I Sanitation EI Bonds EI Federal/other grants F-I Other(specify) This expenditure is to be coded to the following budget line-item: 010-03-8900-1359 (Fund - Department-Activity-Account Number) (Project Code) A/_ in which the budgeted amount is $ , 50,000 and the current available balance is $ a75�zc,, 8 av Respectfully submi ted, _f 1,G� (Signature D pt . Head or Designee) Date (Signature Finance Dept. Review) Date KA\shared goodies\forms\Pre-Authorization.Special Election Expense.xls(Mar 2010) AW TRAVELERS Page 1 of 1 Kelley Felchle Account Number: 4566GA087 City of Waterloo Invoice Number: 2105374 715 Mulberry St Date Due: 08/31/2019 Waterloo, IA 50703 Amount Due: $35,000.00 Installment Producer: PDCM INSURANCE INC -�� Client: CITY OF WATERLOO Remit Payment To: Your Receivable Account Manager: Travelers Monifa A. Joseph c/o Bank of America (860)277-6813 91287 Collections Center Drive maioseph D.travelers.com Chicago, IL 60693-1287 Agreement Term: 07/01/2019 - 07/01/2020 Description Amount Due Deductible Deposit $35 000.00 11 Please return invoice with payment by the due date. Additional Payment Options: WARNING RE: FRAUDULENT FUNDING INSTRUCTIONS Wire &ACH Credit Email hacking and fraud are on the rise.Should you have any concerns JP Morgan Chase Bank regarding where you are wiring funds,or if you wish to verify the wiring Travelers Indemnity Co instructions provided, please call your Receivable Account Manager Chase Plaza immediately.We are not responsible for any wires sent by you to an New York, NY 10005 incorrect bank account. CL NMD Concentration Account Account#: 9102547024 ABA#: 021000021 Please Include Account Number: 4566GA087 It's better under the umbrella. Nancy Higby From: Joseph,Monifa A <MAJOSEPH@travelers.com> Sent: Thursday, August 08, 2019 3:33 PM To: KELLEY FELCHLE Cc: Nancy Higby Subject: CITY OF WATERLOO LOSS FUND INVOICE Attachments: 4566GA087_CITY OF WATERLOO_INSTALLMENT_08-31-2019_I.pdf Follow Up Flag: Follow up Flag Status: Flagged Good afternoon ladies, Attached please find the Loss fund invoice attached. Please review and let me know if you have any questions. Thanks! Monifa Joseph I Receivable Account Managers Loss Sensitive Receivable Management Travelers One Tower Square I FP15 Hartford, CT 06183 W: 860-277-6813 F: 860-277-8604 WARNING RE: FRAUDULENT FUNDING INSTRUCTIONS Email hacking and fraud are on the rise. Should you have any concerns regarding where you are wiring funds, or if you wish to verify the wiring instructions provided, please call your receivable account manager immediately. We are not responsible for any wires sent by you to an incorrect bank account. This message(including any attachments)may contain confidential,proprietary,privileged and/or private information.The information is intended to be for the use of the individual or entity designated above.If you are not the intended recipient of this message,please notify the sender immediately,and delete the message and any attachments.Any disclosure,reproduction,distribution or other use of this message or any attachments by an individual or entity other than the intended recipient is prohibited. 1 City Clerk Use Only Finance Committee Approval Date /Z��I ct City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Fire Department to expend $ 7,689.00 plus est. shipping costs of $ 199.99 to pay for or purchase One Lion ITS portable fire extinguisher training system This purchase or expenditure is being made because: We were awarded a no match grant from the Iowa Department of Public Safety to purchase the device. Vendor selected for this purchase: Lion ❑X Bids or written quotes were taken on this purchase, as follows: Lion $7,689.00 ❑ 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 7 Sewer ❑ Sanitation Bonds Federal/other grants Fx Other(specify) Grant Funds/GRT This expenditure is to be coded to the following budget line-item: GRT account will be utilized for this project. (Fund - Department- Activity-Account Number) (Project Code) in which the budgeted amount is $ 7,888.99 and the current available balance is $ R pec u su ed, (Signature Dept.(Head or Designee) Date (Signature Finance Dept. Review) Date K\shared good ies\forms\Expenditure Pre-Authorization LION.As(Mar 2010) 7200 Poe Ave LION Suite 400 Quote page; 1 of Dayton, OH 45414 Ph. 518-689-2023 ready for action Fx. 518-689-2034 Quote Number: 4025955-0 Date: Apr 30,2019 1:14 PM Payment Terms: 30 NET Expiration Date: May 31,2019 Freight Terms: Prepay&Add Shipping Method: FEDEX GROUND Customer Waterloo Fire&Rescue Address Waterloo Fire&Rescue Bill To Waterloo Fire&Rescue Ship To Waterloo Fire& Rescue 425 E 3rd St 425 E 3rd St 425 E 3rd St Waterloo Waterloo Waterloo IA 50703 IA 50703 IA 50703 US US US Contact [Contract Information Agreement 0% Discount Agreement Version 1 This ordering document incorporates, by reference,the terms of the agreement specified above. Products You have ordered the products described below for use in the U.S., and not for resale, unless otherwise specified. Currency Used On This Document US dollar Line Product Units Quantity List Price Discount% Net Price 1.1.1 ITS EXA Unit-ITSBU01 EACH 1 3,995.00 0.00 3,995.00 1.1.2 I.T.S. Hand-Held Controller,V2-ITSC001 EACH 1 450.00 0.00 450.00 1.1.3 Transport Case for Intelligent Training EACH 1 845.00 0.00 845.00 System- IC001 1.1.4 BP022-Battery Power Pack-BP022 EACH 1 98.00 0.00 98.00 1.1.7 SmartExtinguisher for I.T.S.(7X)- EACH 2 495.00 0.00 990.00 SE007XR 1.1.8 Industrial Grade Extinguisher Carrying EACH 1 200.00 0.00 200.00 Case-CCO57 1.1.9 I.T.S.Shipping Kit-ITSSK001 EACH 1 751.00 0.00 751.00 1.1.10 Air Compressor with Accessories-ACM EACH 1 360.00 0.00 360.00 Subtotal 7,689.00 Charges 199.99 Tax 0.00 7200 Poe Ave Quote LION Suite 400 Page: 2 of 4 Dayton, OH 45414 P1. 518-689-2023 ready for action Fx. 518-689-2034 Total 7,888.99 City Clerk Use Only Finance Committee cr 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 'F�re� Department to expend $ 3,674.66 plus est, shipping costs of $ 300.00 to pay for or purchase 2-Akron Revolution 5-inch intake valves. This purchase or expenditure is being made because: We originally ordered from Heiman Fire and the valves arrived and they were the wrong one: Vendor selected for this purchase: Reliant Fire Apparatus ❑x Bids or written quotes were taken on this purchase, as follows: Heiman Fire- $3,526.70 Reliant Fire- $3,674.66 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 El Sanitation 5Bonds ❑ Federal/other grants 0 Other(specify) This expenditure is to be coded to the following budget line-item: 418-12-1400-2117 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 550,000.00 and the current available balance is $ 14,952.98 '� Respect Ily ubmi ed, (,J�... (SignatureiDept. Head or Designee) Date (SigrTature Finance Dept. Review) Date K:\shared goodies\forms\Akron Intake Valves.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 $ 1,142.50 plus est. shipping costs of $ na to pay for or purchase Flag Football t-shirts for the Flag Football Program This purchase or expenditure is being made because: to outfit our flag football teams with shirts. Vendor selected for this purchase: Dickey's Printing (Waterloo,IA) Q Bids or written quotes were taken on this purchase, as follows: Dickey's Printing (Waterloo,lA) $1,142.50 Advantage Screen Print (Waterloo,IA) $1,500.00 ❑ 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: Fx General Fund ❑ Road Use Tax ❑ Sewer R Sanitation EI Bonds 1:1 Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-37-4200-1567 Recreational Equipment & Supplies (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 24,000.00 ' and the current available balance is $ 22,075.37 ✓ Respectfully submitted - /A Ignature De ad or Designee) Date (Signature Finance Dept. Review) Date K1shared goodies\forms\2019 Flag Football TShirts.xls(Mar 2010) City Clerk Use Only Finance Committee q 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 $ 6,250.00 plus est. shipping costs of $ n/a to pay for or purchase Replacement of oil coolers & dual pressure safety switches on (2) ammonia compressors at Young Arena. This purchase or expenditure is being made because: These parts are important for the safe operation of the ammonia ice plant & need replaceme 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: Q Bids or quotes were not taken on this purchase because: All Temp Refrigeration is a Certified Vilter Ammonia Compressor Specialist. It's Staff has performed all maintenance work on the Young Arena ice system since 1994 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 5Bonds Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 418-37-4500-2152 & 419-37-4500-2152 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 40,000 ' / 77,000 ' and the current available balance is $ 4,82+15,x/ 77,000✓ /98o f3 Respectfully submitted, (Signature Dept. Head or Ignee) Oate (Signature Finance Dept. Review) Date KAshared goodies\forms12019 Ice System Oil Cooler_pressure switch Replacement Expenditure Pre-Authorization.xls(Mar 2010) City Clerk use Only Finance Committee Approval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the MIS Department to expend $ 3,788.95 plus est. shipping costs of $ to pay for or purchase Dell Equalogic PS6100 SAN annual maintenance renewal. This purchase or expenditure is being made because: 1 year renewal of Dell Equalogic SAN GDKQZ12 unit. This unit is critical infrastructure and maintenance must be maintained. Vendor selected for this purchase: Dell Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Renewal of maintenance is through Dell for their products. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: IX General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds 0 Federal/other grants 1-1 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 $ 38,070.00 ✓ and the current available balance is $ 31,521.75 ✓ Respe tfull ubmitted, (Signature Elept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Auth Dell Equalogic PS6100 GDKQZ12.xls(Mar 2010) City Clerk Use Only (Finance Committee (Approval Date �111ti 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 $ 2.920.00 plus ext. shipping cost of $ 100.00 to pay for or purchase VOLUCALC RT- FLOW SOLUTION FOR LIFT STATION FOR CONSTANT CALCULATION OF FLOW This purchase or expenditure is being made because: TO ASSIST IN THE ANALYSES AND EVALUATION OF REHABILITATION IN SERVICE AREA 12 AND DOUGLASS LIFT STATION. Vendor selected for this purchase: MAID LABS TECHNOLOGY Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: MAID LABS IS SOLE PROVIDER OF VOLUCALC RT Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑General Fund: Road Use Tax: FXSewer: Sanitation: 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 �-' and thecurre ble balance is $ 356-6 ifysubmit ig ature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date Maid Labs Technologies inc. Bid 08/07/2019 1344 Val6rie Caron 944 Andras-Line Sales Rep. Benoit Beaudoin Granby Reference Volucalc Hybrid quote J2J 1 E2 Tel.:450 375-2144 Expiration Date 07/08/2019 Customer: MUN-WATERLOO Ship To City of Waterloo 1 DO LAI `as Same Waterloo, Iowa Item No. Description Qty Disc Price Total IRS#22-2573228 MLVC-CS Volucalc Hybrid-Constant Speed pumps 1 0.00 2695.00 2695.00 `5%discount on order of 5 to 10 units MLVC-VS Volucalc Hybrid-Variable Speed pumps 0 0.00 3995.00 0.00 Add 1300$to MLVC-CS to convert to the variable speed pumps device MLPS2 Power supply 24 VDC 1.5A for Maid Devices 1 0.00 0.00 0.00 MLUSBKEY Maid Labs Technologies USB key 1 0.00 0.00 0.00 MLSD Maid Labs Technologies Screwdriver with bits 1 0.00 0.00 0.00 CURRENTSENSORS: MLCT75 Mini current sensor 75 Amps 3 0.00 75.00 225.00 MLCT150 Current sensor 150 Amps 0 0.00 100.00 0.00 MLCT300 Current sensor 300 Amps 0 0.00 110.00 0.00 VARIOUS ACCESSORIES: MLISO4-20 4-20mA current loop isolator 0 0.00 100.00 0.00 MLPSVL 100 PSI Waste water pressure sensor 0 0.00 533.00 0.00 MLPSCABLE-FT Cable length for MLPS100,MLPS300,MLPSVL(foot)(25 ft x 3$=75$) 0 0.00 3.00 0.00 MLRG Rain Gauge NWS approved.0.01"per pulse 0 0.00 200.00 0.00 MLENCHMD-TR NEMA4X Hammond type case for Maid Devices w/transparent cov 0 0.00 395.00 0.00 MLSUPDIN Maid Devices Din Rail bracket 0 0.00 40.00 0.00 MODEM&SOFTWARES: MLCELETH Cellular modem with Ethernet port 0 0.00 432.00 0.00 MLMAPSPLUS-1 MaidMaps SCADA Web Application PLUS version(1 year) 0 0.00 495.00 0.00 MLCELDATA Cellular Services(1 year) 0 0.00 180.00 0.00 Only one time per site ***Continued on Next Page *** Page:1 Maid Labs Technologies inc. Bid 08/07/2019 1344 Valerie Caron 944 Andre-Line Sales Rep. Benoit Beaudoin Granby Reference Volucalc Hybrid quote J2J 1 E2 Tel.:450 375-2144 Expiration Date 07/08/2019 Customer: MUN-WATERLOO Ship To City of Waterloo Same Waterloo, Iowa Item No. Description Qty Disc Price Total MLCELDATA-ACT Cellular data activation fees 0 0.00 50.00 0.00 One time fee for all stations MLSTARTMAPS MaidMaps software&training startup fees 0 0.00 212.00 0.00 MLSOFTM1 Softmaid(1 License)for Maid Labs devices only 0 0.00 995.00 0.00 MLSOFTM3 Softmaid(3 Licenses)for Maid Labs devices only 0 0.00 2100.00 0.00 All made in Canada Subtotal : 2920.00 Shipping : 100.00 A) Regist 805689841RT0001 GST 0.00 B) Regist 1220273683 OST 0.00 Total : 3 020.00 Page:2 City Clerk Use Only 'Finance Committee Approval Date t 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 $ 6,485.00 plus ext. shipping cost of $ 0.00 to pay for or purchase SHELTER HOUSE FOR SAMPLER AT EASTON INFLUEENT This purchase or expenditure is being made because: DNR REQUIREMENT FOR NEW SHELTER HOUSE FOR SAMPLER Vendor selected for this purchase: ELECTRIC PUMP [X Bids or written quotes were taken on this purchase, as follows ELECTRIC PUMP $6,485.00 INCLUDES SHIPPING MELLEN INC - $7,300 INCLUDES SHIPPING OPEN CHANNEL FLOW-$7000.11 INCLUDES SHIPPING 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: ElGeneral Fund: Road Use Tax: Sewer: Sanitation: 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 ✓ and the current available balance is $ - Resimctfully t ture Dep . ad Or Designee) Date (Signature Finance Dept. Review) Date e , St.50 201 4th Ave SW Moi Des Moines, IA 50313 New Prague, MN 56071 Office: 515-265-2222 Office:952-758-6600 Toll Free:800-383-7867 Toll Free: 800-536-5394 ELECTRIC PUMP Fax: 515-265-8079 Fax: 952-758-7778 TO: City of Waterloo REF: Sampler Shed DATE: August 14, 2019 Electric Pump is pleased to submit this proposal for the following equipment: Fiberglass Composite Building One (1) EFC (Engineered Fiberglass Composites) 6' Wide x 5' deep x T-6" high (7'-0" high at eaves) molded one-piece fiberglass building, model #EFC-72X60-1. Roof to be peaked and be provided with two (2) galvanized lifting eyes. Building shall be insulated with 1" thick foam having an R-value of 6.0. Color of building to be standard white. Building shall be provided with one (1) T-0" wide X 6-6" high FRP flush-fitting single door complete with EFC standard door hardware. One (1) Lot of freight included Total Selling Price: $ 6,485.00 plus tax Note the following: Concrete, Building Installation, Offloading, Lighting, Electrical, Fan, Heater, Vents, Embedded Lumber, Load Centers, Wiring, Anchor bolts, Conduit, and anything that's not specifically mentioned in this proposal is the responsibility of others Thank you for your consideration, Brian Frost(515) 710-9140 cc: Taylor Musselman (515)265-2222 1 Purchase Agreement: **Ship to Address: ATTN: Tagging Instructions: Note the following: • Return this purchase agreement to Taylor Musselman at taylorm@electricpump.com or via fax(515)265- 8079 Delivery: 5—6 Weeks ARO Payment: Net 30 Days—Retainage upon completion We are pleased to make the following offer to sell the listed Merchandise which if firm for(30)thirty days from the above date, and is automatically withdrawn thereafter without any further notice. 1, Signing and returning this document to Electric Pump's office in Des Moines, IA may accept this offer. 2. This offer and acceptance constitutes the entire Agreement between the parties and may be modified only by a writing signed by both parties. 3. The prices quoted for equipment are valid for(30)thirty days. If the quote includes start up services and it is scheduled by the request of the buyer for a time other than Monday through Friday 8:00 to 5:00 additional charges will be due. 4. Payment terms are NET 30 (thirty days)after the mailing of seller's invoice. 5. Delivery terms are F.O.B. Place of Shipment. Seller agrees to put the merchandise in the possession of the carrier, to make a reasonable contract of carriage for their transportation, to obtain and deliver or tender such documents as may be necessary to enable Buyer to obtain possession, and to promptly notify the Buyer of shipment. After seller has delivered the merchandise to the carrier, the risk of loss of the merchandise will be borne by the Buyer. The prices quoted herein include transportation charges based on existing truckload rates, any change in delivery rates existing at the time of delivery will be billed to your account. Dates of delivery are determined from the date of Seller's acceptance of any order or orders by Buyer and are estimates of approximate dates of delivery, not a guaranty of a particular day of delivery. 6. Sales and use tax are not included. 7. Buyer shall notify seller in writing at Seller's place of business as shown on the reverse side of this page, within twenty(20)days of receipt of merchandise, or any complaint whatsoever buyer may have concerning such merchandise. Failure to give such notice shall constitute a waiver by Buyer of all claims in respect to such goods. 8. If notice of complaints is provided within twenty(20) days of Buyer's receipt of the merchandise, Seller agrees to inspect the merchandise at Seller's place of business during Seller's normal business hours and days. Upon inspection, if the merchandise is determined to be defective in material or workmanship, Seller, at Seller's option, shall repair or replace said merchandise at no cost to Buyer, or Seller may refund the purchase price. If the examined merchandise is found not to be defective or is not for some other reason within the warranty coverage, Seller's service time expended on and off-location will be charged to Buyer. 9. Seller will have no further warranty obligation under this Agreement if the Equipment is subjected to abuse, misuse, negligence or accident or if buyer fails to perform any of its duties set forth in Paragraphs 8 and 9. 10. THE WARRANTY PRINTED ABOVE IS THE ONLY WARRANTY MADE BY THE SELLER REGARDING THIS PURCHASE. SELLER DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. NOTHING HEREIN CONTAINED SHALL LIMIT BUYER'S RIGHTS AGAINST THE MANUFACTURER, WITH RESPECT TO MANUFACTURER'S WARRANTIES, IF ANY. 2 11. WARRANTY REPAIRS (which fall under the manufacturer's warranty, if any)ARE F.O.B. ELECTRIC PUMP, INC. SERVICE LOCATION. ELECTRIC PUMP, INC. WILL NOT ASSUME ANY EXTENDED WARRANTIES UNLESS APPROVED BY PRIOR WRITTEN CONSENT. THIS INCLUDES SERVICE CALLS TO JOB SITES ON PRODUCT COVERED DURING THE WARRANTY PERIOD. PLEASE REFER TO THE ATTACHED PRODUCT WARRANTY STATEMENT FOR CLARIFICATION. 12. IT IS UNDERSTOOD AND AGREED THAT SELLER'S LIABILITY WHETHER IN CONTRACT, IN TORT, UNDER ANY WARRANTY, IN NEGLIGENCE OR OTHERWISE SHALL NOT EXCEED THE RETURN OF THE AMOUNT OF THE PURCHASE PRICE PAID BY BUYER AND UNDER NO CIRCUMSTANCES SHALL SELLER BE LIABLE FOR SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES. THE PRICE STATED FOR THE MERCHANDISE IS A CONSIDERATION IN LIMITING SELLER'S LIABILITY. NO ACTION, REGARDLESS OF FORM, ARISING OUT OF THE TRANSACTION UNDER THIS AGREEMENT MAY BE BROUGHT BY BUYER MORE THAN ONE-YEAR AFTER THE CAUSE OF ACTION HAS ACCRUED. 13. This Agreement shall be governed by and interpreted in accordance with the laws of the State of Iowa. Any dispute or disputes arising between the parties hereunder, insofar as the same cannot be settled by friendly agreement, shall be litigated only in The Iowa District Court for Polk County, in Des Moines, Iowa. Seller also has the right to commence an action against the Buyer in the County of the Buyer's principal place of business. ***We need a hard copy of this agreement and/or a Purchase Order to start the submittal process.******* Business Name Street Address City/State/Zip Phone Fax Email Purchase Order Number Purchase Order Amount SIGNATURE DATE .A signed copy of this must be returned with your P.O. Is Project Taxable? Y or N, if No a tax exempt form must be supplied for our records 3 ICT SHOP From: ICT SHOP Sent: Tuesday,July 30, 2019 12:17 PM To: 'John Grund' Subject: RE: Plasti-Fab Shelters Quote I would like to know if this price is still good if no please requote thanks john From:John Grund <john@melleninc.com> Sent:Thursday,April 18, 2019 9:43 AM To: ICT SHOP <ICT.SHOP@WATERLOO-IA.ORG> Subject: Plasti-Fab Shelters Quote Steve, REF: Plasti-Fab Shelter/Options Quote I left you a voice mail. (1) Model 5 Shelter $6,400.00 net each (1) Model 5XL Shelter $7,200.00 net each. � Electrical Optional adders to the above prices: Pole Box $500.00 net each Incandescent light$250.00 net each GFI Outlet $140.00 net each Shop Drawings: 3-4 Weeks Fabrication: 5-6 Weeks Terms: 100% Net 30 Days FOB Factory-Freight Pre Pay and Add to Invoice Estimated $900.00 If an order is generated, Please make PO to Mellen &Associates, Inc. and send to me for processing. Thank You, John Grund Mellen &Associates, Inc. 3404 South 11th street Council Bluffs, IA 51501 PH: (712) 322-9333 FX: (712) 322-6557 www.melleninc.com Business Hours: Monday-Thursday: 8:00am—5:00pm Friday: 8:00am—3:30pm Confidentiality Notice:This e-mail message,including any attachments,is covered by the Electronic Communications Privacy Act,18 U.S.C.2510-2521,is confidential, and may be legally privileged for the sole use of intended recipient(s)and may contain confidential and privileged information.Any unauthorized review,use, disclosure or distribution is prohibited.If you are not the intended recipient,please contact the sender by reply e-mail and destroy all copies of the original message. 1 ICT SHOP From: Jon Wachter <jwachter@openchannelflow.com> Sent: Wednesday,July 31, 2019 11:34 AM To: ICT SHOP Subject: 5-Foot x 5.5-Foot Fiberglass Shelter John, $980.11 to a commercial location - no notification - on a pallet via LTL carrier. Jon Wachter Openchannelflow E: Iwachteraooenchannelflow com 0: 855.481.1118 1 F: 855.331.6475 Flumes I Manholes I Weirs I Shelters I OEM www.openchannelflow.com East Coast: Atlanta, GA West Coast: Boise, ID On Jul 31, 2019, at 8:58 AM, ICT SHOP <ICT.SHOP(-)WATERLOO-IA.ORG>wrote: Can you get a shipping quote to 50702 From:jwachter(a�ooenchannelflow.com <Lwachter(@openchannelflow.com> Sent:Tuesday,July 30, 2019 2:51 PM To: ICT SHOP<ICT.SHOP@WATERLOO-IA.ORG> Subject: 5-Foot x 5.5-Foot Fiberglass Shelter Hi John, Thanks for the call! The 5' W x 5.5' L fiberglass shelter with open base, insulation, and standard 3068 door is $6,020 plus shipping. Cl Allow 7-9 weeks for manufacturing. Should you have any other questions or needs,just let us know. Regards, Fri A oZ0 Jon Wachter o penchannelflow II 0T�� E: jwachter2onenchannelflow.com 0: 855.481.1118 IF: 855.331.6475 Flumes I Manholes I Weirs I Shelters Stop Logs OEM www.ol2enchannelflow.com East Coast: Atlanta, GA West Coast: Boise, ID 2 City Clerk Use Only Finance Committee,] Approval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Department to expend $ 11,061.24 plus est. shipping costs of $ to pay for or purchase 40 - Holophane ATB2 - LED lamps This purchase or expenditure is being made because: To replace burnt out city owned High Pressure Sodium street lights with LEDs. Vendor selected for this purchase: Van Meter ❑X Bids or written quotes were taken on this purchase, as follows: Van Meter Waterloo, IA $276.00 each Crescent Electric Waterloo, IA $277.00 each 3E Waterloo, IA $282.29 each 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 EI Sewer F Sanitation FX Bonds Federal/other grants F] Other(specify) This expenditure is to be coded to the following budget line-item: 417-17-7105-2129 and 418-17-7105-2129 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 25,000.00' 20,000.00 and the current available balance is $ 11,022.26 20,000.00✓ Respectfully submitted, ad/I � r Signature Dept. H ad or Designee) Date (Sighature Finance Dept. Review) Date K:\shared goodies\forms\2019-August-Pre-Auth-Crescent-40 Holophane LED lamps-Traffic-417&418-17-7105-2129 $11,061.24.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Department to expend $ 1,479.92 plus est. shipping costs of $ 200.00 to pay for or purchase 10 ft. Steel Pole, Beacon Assembly and hardware for awareness of school zone 25 MPH when flashing on Kimball Ave. north and south of Mitchell Ave. This purchase or expenditure is being made because: Due to ordinance change for speed limit to lower to 25 MPH during school times this flashing beacon will alert drivers. Vendor selected for this purchase: General Traffic Controls, Inc. ❑X Bids or written quotes were taken on this purchase, as follows: General Traffic Controls, Inc. Spencer, IA $1,479.92 Mobotrex Davenport IA 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: 1-1 General Fund ❑ Road Use Tax ❑ Sewer F—I Sanitation ❑X Bonds D Federal/other grants F—] Other (specify) This expenditure is to be coded to the following budget line-item: 417-17-7120-2125 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 10,000.00 -*� and the current available balance is $ t 1 14aaO' Respectfully submitted, AJ14-1.1�" L !`i P o;b l j Signature Dept. He d or Designee) D to (Signature Finance Dept. Review) Date KAshared goodies\forms\2019-August-Pre-Auth-Crescent- 10 ft. Steel Pole and Beacon Assembly for Kimball Ave.School Zone-Traffic- 417-17-7120-2125 $1,479.92.xls(Mar 2010) Budget Amendment Descriptions for 8/26/2019 Finance Committee Meeting Agenda: 1. Approve the project budget amendment increase the revenue and expense for the Organized Crime Drug Enforcement Task Force project in the amount of$5,000, submitted by the Police Department. 2. Approve the project budget for the Golf Marketing project, funded with hotel/motel taxes to pay for marketing expenses,as submitted by Leisure Services. 3. Approve the project budget for the State Library Services&Technology Act grant, funded with federal funds through the state of Iowa to pay for technology, in the amount of$8,672, as submitted by Library. 4. Approve the project budget for the donation to the Otto Schoitz Emergency Repair project, funded with donations in the amount of$30,000 from the Otto Schoitz Foundation,to be used to for emergency home repairs,as submitted by Community Development. Please use this for project budget descriptions on Finance agenda. Do not need to include this cover sheet in the Finance Committee packet. Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY FinancgrCommittee approval required? YES NO If so,date approved: City of Waterloo Line-Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line-item budget amendment for FYE 20 submitted by the POLICE Department: EXPENSES/REVENUE DECREASE EXPENDITURES(INCREASE REVENUE) I INCREASE EXPENDITURES(DECREASE REVENUE) Fund Dept Activity Acct# Acct Name I Proj Code I Amount IFund Dept Activity Acct# Acct Name I Proj Code I Amount 010 11 1150 3873 Reimb for Services 11 GRT.ODEF 2,000.00 010 11 1150 1114 Overtime 11GRT.ODEF 2,000.00 010 11 1150 3873 Reimb for Services 11 GRT.ODEF 3,000.00 010 11 1150 1114 Overtime 11GRT.ODEF 3,000.00 TOTAL $5,000.00 TOTAL $5,000.00 This amendment is being requested because: This is to conform with the City's budget line item control policy.See attached paperwork,additional funding for Kid Kilo WC-IAN-0132 T-32. Prior Committee Actions(Dates): \,----.(Signature Dept. Head or Designee) Date ` (Signature Finance Dept. Review) Date Date Posted(Finance Dept.) K:\users\shared goodies\forms\cs budget amend req form(Apr 2003) Law Enforcement Sensitive w U.S. Department of Justice h_. United States Attorney Organized Crime Drug Enforcement Task Forces „ - West Central Region Thomas F.Eagleton Courthouse 314-539-2200 111 S. 10th Street,Suite 20.333 Fax:314-539-2312 St.Louis,MO 63102 Memorandum July 23, 2019 To: Major Joe Leibold From:James Delwort 1� Waterloo PD AUSA OCDETF Regional Director 715 Mulberry Street West Central Region Waterloo, IA 50703 Re: Organized Crime Drug Enforcement Task Force (OCDETF) Overtime and Authorized Expense Program for Fiscal 2019 OCDETF Investigation # DCN: Sponsoring Federal Agency: WC-IAN-0132 0329044 FBI Waterloo PD At this time the Coordination Group has agreed to obligate additional funding in the above captioned agreement in the amount of$3,000.00. This obligation gives your agency a total amount funded of$12,500.00 for this fiscal year which ends September 30, 2019. Funding History Funding Date Change Total Beginning Agreement Amount 11/13/2018 $ 7,500.00 $ 7,500.00 Funding Change 05/22/2019 $ 2,000.00 $ 9,500.00 ndlnane $8,00000 $ 12,500,00. Please do not hesitate to contact Walt Comeau at 314-220-1953 if you have any questions. No further reimbursements will be authorized without a written request, and authorization from, the OCDETF Core City Coordinators. You should ensure that you do not exceed your allocation. Law Enforcement Sensitive U.S. Department of Justice United States Attorney Organized Crime Drug Enforcement Task Forces West Central Region Thomas F. Eagleton Courthouse 314-539-2200 111 S. 10th Street,Suite 20.333 Fax:314-539-2312 St.Louis,MO 63102 Memorandum May 29, 2019 �✓ To: Major Joe Leibold From: James DelwortHl Waterloo PD AUSA OCDETF Regional Director 715 Mulberry Street West Central Region Waterloo, IA 50703 Re: Organized Crime Drug Enforcement Task Force (OCDETF) Overtime and Authorized Expense Program for Fiscal 2019 OCDETF Investigation # DCN: Sponsoring Federal Agency: WC-IAN-0132 U329044 FBI Waterloo PD At this time the Coordination Group has agreed to obligate additional funding in the above captioned agreement in the amount of$2,000.00. This obligation gives your agency a total amount funded of$9,500.00 for this fiscal year which ends September 30, 2019. Funding History Funding Date Change Total Beginning Agreement Amount 11/13/2018 $ 7,500.00 $ 7,500.00 05/22/2019 $ 2,000.00 $ 9,500.00 Please do not hesitate to contact Walt Comeau at 314-220-1953 if you have any questions. No further reimbursements will be authorized without a written request, and authorization from, the, OCDETF Core City Coordinators. You should ensure that you do not exceed your allocation. PROJECT BUDGET WORKSHEET- NON-CONSTRUCTION PAGE TWO City Clerk use Only Finance Committee Approval Date Project Name (from page one) GOLF Marketing FY2020 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. -714M7? Subproject No. (Each column should only include amounts by fund) Fund: _010 Fund: Fund: Fund: Total REVENUES: 010-37-4105 3000 Cash on Hand $ 3350 Federal Grant _ 3352 Federal HUD Grant 3354 Shared Program - Local _ 3.357 Shared Program -County _ 3358 Shared Program- City _ 3360 Shared Program- State 3361 State Grant 3720 Donations- Restricted 3750 Sale of Bonds _ 3111 Hotel Motel Discretionary 12,000.00 12,000.00 TOTALS $ 12,000.00 $ - $ - $ $ 12,000.00 EXPENDITURES: 1111 Salaries - Regular $ _ 1112 Salaries - Part Time 1315 Education &Training 1345 Travel - Official City _ 1346 Travel - Prof Training 1.390 Contractual Services 1351 Advertising 12,000.00 12,000.00 TOTALS $ 12,000.00 $ - $ - $ $ 12,000.00 (Signature Dept. Head) Date re Finance Dept. Review) Date K:\shared goodies\forms\Project Budget HMT GOLF.xls\Page 2(Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name Golf Marketing Campaign FY2020 City Contract No. To be assigned by the Finance Dept. Project Manager James Bolger Project No. Project Budget Total $ 12,000.00 Subproject No. 1. How will this project be funded? A. Federal Grant Yes = No CFDA# % Paid by federal grant Grant Name Grant Agreement Number B. State Grant Yes 0 No �X % Paid by state grant Grant Name Reap Grant Grant Agreement Number C. City Match Source of Funding % Paid by City D. Other Entities Yes = No �X % Paid by other entity 100.00% Name Hotel Motel Done None 2-Attach copies of any grant agreements that will fund the project (REQUIRED) ❑ ❑ Awarded June 17, 2019 Yes No 3. Does the project include the purchase of right of way or other real property? 71 LX If yes,will real property purchases be reimbursable under the grant? ❑ ❑ If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees ❑ B. Publication, or printing costs D ❑X C. Others, list ❑X 5. Does this project cover any regular full-time salaries or benefits? ❑ 7 If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Leisure Services GOLF was awarded hotel motel funds to be used for marketing the golf courses Page 2 must be attached and signed. K:lshared goodiesWormsTroject Budget HMT GOLF.xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name LSTA Library Technology Grant 2019 City Contract No. , '1 ` *wFtr,Wme Mot Project Manager Nick Rossman, Jillian Rutledge t fiia , GRT STA19 Project Budget Total $ 8,692.00 v 1. How will this project be funded? A. Federal Grant Yes Fx No 0 CFDA# % Paid by federal grant 100.00% Grant Name Grant Agreement Number B. State Grant Yes 0 No Ox % Paid by state grant 0.00% Grant Name Grant Agreement Number C. City Match Source of Funding % Paid by City 0.00% D. Other Entities Yes 0 No % Paid by other entity 0.00% Name Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) 7x 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? ❑ Q If yes, have you attached authorization to purchase real property to this document? 7x 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees ❑ Qx B. Publication, or printing costs ❑ Q C. Others, list ❑ Q 5. Does this project cover any regular full-time salaries or benefits? ❑ Ex If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) The project will provide educational and STEM programming to the public, as well as offer internet access to underserved community members. The library aims to provide a minimum of six programs dedicated to green screen video production and will begin circulating hotspots by September 2019. Access to the 3D printer will start by September 2019 with 3D programming beginning in early 2020. Page 2 must be attached and signed. userslmichelle-w\forms\project-worksheets-Ista-Iib-tech-grant-2019\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) LSTA Library Technology Grant 2019 Department No. project will be budgeted under 33 r E Activity No. project will be budgeted under 3160 'ti T LSTA-t9 �.._.. (Each column should only include amounts by fund) Fund: 010 Fund: Fund: Fund: Total REVENUES: 3000 Cash on Hand $ - 3350 Federal Grant 8,692.00 8,692.00 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 - 3800 Miscellaneous Revenue - TOTALS $ 8,692.00 $ - $ - $ - $ 8,692.00 EXPENDITURES: - 1561 Office Supplies 96.00 $ 96.00 -2106 Computer Equipment 7,235.00 7,235.00 2127 Photo &Video Equipment 1,361.00 1,361.00 TOTALS $ 8,692.00 $ - $ $ - $ 8,692.00 IF-16 4 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date users\michelle-w\forms\project-worksheets-Ista-Iib-tech-grant-2019\Page 2(Donat-non constr) (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS Ap If-e1 PAGE ONE / Project Name Emergency Repair Program City Contract No. To be assigned by the Finance Wit• Project Manager Community Development project No ;Z Project Budget Total $ 30,000.00 Subproject No lll+tr`J,�S 1. How will this project be funded? A. Federal Grant Yes 0 No CFDA# % Paid by federal grant 0-75% Grant Name Grant Agreement Number B. State Grant Yes = No % 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 25-100% Name Otto Schoitz Foundation Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) OX ED Yes No 3. Does the project include the purchase of right of way or other real property? El ❑X I If yes, will real property purchases be reimbursable under the grant? El ❑ If yes, have you attached authorization to purchase real property to this document? ❑ ❑ 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees 0 ❑X B. Publication, or printing costsEl 0 C. Others, list D ED 5. Does this project cover any regular full-time salaries or benefits? 0 0 If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) These funds will be used in addition to our Federal funding for our Emergency Repair Program. Funds will be used for emergencies that need immediate attention such as but not limited to furnaces broken water supply lines water heaters and roofs. Page 2 must be attached and signed. K:\shared goodies\forms\Project Budget Worksheet.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) Emergency Repair Program Department No. project will be budgeted under 32 To be assigned by the KYm*0* *L Activity No. project will be budgeted under Project No. Subproject No. (Each column should only include amounts by fund) 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 - 3750 Sale of Bonds - 3905 TIF Revenue - Otto Schoitz 30,000.00 30,000.00 TOTALS $ $ 30,000.00 $ $ $ 30,000.00 EXPENDITURES: 1111 Salaries- Regular $ - 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 - 1379 Interim Assistance 30,000.00 30,000.00 TOTALS $ $ 30,000.00 $ - $ $ 30,000.00 LZ (Signature D pt. HeaqY Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Project Budget Worksheet.xls\Page 2(Donat or NON-constr) (Mar 2010) Otto Schoitz Fund Project Address Budget Balance Project funds will be used for Emergency Repairs-1379 $30,000 $ 30,000.00 OS14A.1336 320 Ricker St. Waterloo, IA 50703 $ 5,825.00 $ 24,175.00 OS14A.1836 320 Alta Vista Waterloo, IA 50703 $ 1,409.22 $ 22,765.78 BG14Z.1323 1929 Franklin St. Waterloo, IA 50703 $ 15,657.00 $ 7,108.78 otto SCHOITZ 425 Cedar Street,Suite 300B ® FOUNDATION Waterloo,IA 50701 0 Ph:319-232-2870 City of Waterloo/Waterloo Community Development Ms. Angie Fordyce 620 Mulberry Street Suite 202 Waterloo, IA 50703 May 16, 2019 Re: Waterloo Community Development Emergency Repair Program Grant Application Dear Ms. Fordyce: On behalf of the Otto Schoitz Foundation Board of Directors, I am pleased to inform you that a grant has been awarded to your organization. Congratulations! We are excited to work with you to improve the health and wellbeing in the Cedar Valley. Your award information is as follows: Type of Award: One Time Amount of Award: $30,000.00 Your proposal was selected amongst a highly competitive field and your grant award is truly an accomplishment to celebrate. Each proposal was carefully considered in light of our guiding principles and the amount of funding available. Grant proposals were evaluated against the following criteria: Community Need. How critical is the project's identified community need? Feasibility. What is the likelihood of success of the project? Outcomes. Do the program/project's identified outcomes provide a meaningful, big and lasting impact? Root or Primary Causes. Does the project address root or primary causes of health and/or wellbeing? to Vulnerable. Does the project positively impact vulnerable individuals? Use of Funds/Shared Funding. Evaluate the soundness of the project's Use of Funds and Shared Funding approach. Mission Alignment. How well does the program/project improve the health and wellbeing of the Cedar Valley? Your specific application received its highest and lowest score in the following categories: Highest score: Vulnerable Lowest score: Outcomes Please be advised that as a condition of receiving your grant award,the following milestones have been established. 1. Within the next two weeks, please view and sign the electronic Grant Agreement. The grant award will be official after you have submitted the electronic Grant Agreement. Please note, if your award is a partial award, i.e. less than the amount that you requested, by returning the signed Grant Agreement you are signifying that you accept the partial award for the project as outlined in your grant application. Any modification of the project goals and expected outcomes due to a partial award must be reviewed and approved by the Foundation —please contact me to discuss these circumstances. J Otto SCHOITZ 425 Cedar Street,Suite 300B FOUNDATION Waterloo,IA 50701 Ph:319-232-2870 2. An Interim Grant Report is due 90 days following the project start date. You will be notified via email fourteen days in advance of this due date. 3. A Final Grant Report is due 30 days after the project end date. You will be notified fourteen days in advance of this due date. Each of these follow-ups are accessed by logging into the Otto Schoitz Foundation online grant management system. As a reminder,the Foundation awards reimbursable grants, i.e.the Foundation reimburses for costs incurred up to the total amount specified in the grant. We reimburse for expenses incurred AFTER the award date. Please submit for reimbursement as often as necessary using the Grant Reimbursement Form (shown on the following page); our preference is to disburse your grant award within 12 months of this notice Congratulations on your grant award - we are very pleased to partner with you in improving life in the Cedar Valley! Sincerely, (� �rGk Shelli Panicucci Executive Director/CEO Otto Schoitz Foundation Phone: 319-232-2870 f I i i r I 3 1 I f otto SCHOITZ FOUNDATION Reimbursement Request The Otto Schoitz Foundation awards reimbursable grants, i.e. the Foundation reimburses the grantee for work performed and/or costs incurred up to the total amount specified in the grant. To request reimbursement, complete and submit this form. Reimbursement requests may be made as often as needed up to the total amount of the grant award. Organization/Payee: Address: EIN: Project: Date: Amount Requested: Supporting documentation: please attach copies of invoice(s) and proof of payment for the amount being requested for reimbursement. For programmatic and operating support reimbursement, please provide a summary of actual costs incurred as compared to the project budget costs identified in the original grant application. Signature of Authorized Official i i Email Phone number Please forward Reimbursement Form and copies of supporting documentation to: Otto Schoitz Foundation 425 Cedar Street, Suite 300B Waterloo,IA 50701 If you prefer to submit electronically,email pdf to info@ottoschoitzfoundation. TSelect Language j Follow Up Waterloo Community Development Emergency Repair Program Process: 2019 Spring Grant Contact Info Request $ Award Details I Documents 1 ........... i _..... . . ....... I i Applicant: �' I Ms. Angie Fordyce angie.fordyce@waterloo-ia.org 319-291-4429 620 Mulberry Street Suite 202 I Waterloo, iA 50703 United States Contact Email History jOrganization: j City of Waterloo/Waterloo Community Development ! !; 42-6005327 I I j i_ I (} If your organization information does not appear correct, please contact the funder. Thank I you. i [� LOI �I F1 Application it Follow Up ! ® FollowUp Packet I [ Question List Q Fields with an asterisk(*) are required. i ..... . ..... _.._..._ E Terms & Conditions I fi II� ! Project Title* ! J# Name of Project 111 f Waterloo Community Development Emergency Repair Program j i i Amount Awarded E i ' THIS AGREEMENT DETAILS THE RESPONSIBILITIES OF THE OTTO SCHOITZ FOUNDATION AND YOUR ORGANIZATION(GRANTEE),AND THE TERMS AND CONDITIONS OF THE GRANT. II � j Use of Funds* The grant is to be used solely for the project as described in Grantee's proposal, including the i time frame identified in the proposal. Projects must be started and completed on time and j completed as presented. Any monies received under this agreement should be expended for no k other purposes.Any funds not used for the specific purpose of the grant must be returned to the r Otto Schoitz Foundation, unless otherwise authorized in writing by the Otto Schoitz Foundation. Grantee specifically agrees that no part of the funds received from this grant will be used to carry on propaganda, influence legislation, influence the outcome of any specific public election, I or carry on, directly or indirectly, any voter registration drive. I © I Agree To The Above j Non-competition with Mercy Health Network* i The grant is not to be used in any manner that competes, or could reasonably be determined to j appear to compete, with Wheaton Franciscan Healthcare and/or Mercy Health Network, or their affiliates, due to the arrangement by which the Otto Schoitz Foundation was formed in 2016. This restriction on competition against Wheaton Franciscan Healthcare and/or Mercy Health Network, or their affiliates, applies to the grant funds absolutely. The restriction on competition applies to fiscal agents and fiscal sponsors and their associates even if,for example,the fiscal agent or sponsor does not necessarily directly compete against Wheaton Franciscan Healthcare and/or Mercy Health Network, or their affiliates. Any grant funds that are determined by the Otto Schoitz Foundation, in its sole discretion, to compete, or to appear to compete, with Wheaton Franciscan Healthcare and/or Mercy Health Network, or their affiliates, must be returned to the Otto Schoitz Foundation. OO I Agree To The Above Non-Profit Status* II If Grantee is a 501 c3 organization, Grantee warrants and represents that its receipt of this grant will not adversely affect the grantee's status as a public charity under Section 509(a) of the Internal Revenue Code. Grantee agrees immediately to notify the Otto Schoitz Foundation, in j writing, if: a. Grantee's legal or federal tax status is revoked or altered; b. Grantee has reasonable grounds to believe that its tax exempt status may be revoked or altered; or, c. Grantee has reason to believe that these grant monies cannot be or continue to be expended 1 for the specific purposes. In the event that Grantee loses its tax exempt status before all funds under this grant are 3 dispensed,this grant contract will be considered null and void and all obligations of the Otto j Schoitz Foundation hereunder will terminate. f N/A, Grantee is a governmental unit j Regulatory Compliance Cooperation* ' i II Grantee will cooperate with the Otto Schoitz Foundation in supplying additional information or in complying with any procedures which might be required by any governmental agency or financial audits or investigations in order for the Otto Schoitz Foundation to establish the fact that it has observed all requirements of the law with respect to this grant. OO I Agree To The Above I I Reimbursable Grant* j The Otto Schoitz Foundation awards reimbursable grants and therefore will reimburse the Grantee upon receipt of documentation of expense incurred after the award notification and which supports work performed and/or costs incurred up to the total grant award. The Grantee may submit for reimbursement as often as necessary using the Grant Reimbursement Form; the Foundation's preference is to disburse the grant award within 12 months of this notice. If the Foundation's reimbursement methodology presents a financial hardship for your organization or project, please contact the Otto Schoitz Foundation's Executive Director. l OO I Agree To The Above I it i Grant Reporting* 1 in addition to providing documentation of expenditure for reimbursement, Grantee agrees to submit electronic reports, if requested by Otto Schoitz Foundation, on the interim and final status of the grant. The interim and final grant reports will summarize progress on the goals and outcomes of the project. If a report is required, Grantee will receive an email notice and I instructions for filing the report prior to the report due date. j Q I Agree To The Above j . l 1 ; Recognition* The Otto Schoitz Foundation desires that all resources of Grantee be dedicated to j accomplishing its philanthropic purposes.Accordingly, Grantee agrees not to recognize the j Foundation, its board members or staff, or this grant with certificates, plaques, or similar i mementos or provide benefits or services to such parties, unless pre-approved by the Foundation. I Agree To The Above Generic Communications* In order to reduce the amount of mail the Otto Schoitz Foundation receives that is not specifically relevant to the management of this grant, the Grantee agrees to keep the j i Foundation off its generic marketing lists, including, but not limited to donor appeals. i At its sole discretion, the Otto Schoitz Foundation may provide a news release summarizing the j grant to television, newspaper and other media. Further,the Otto Schoitz Foundation may 1 include related information of the grant in the Foundation's annual report. I Agree To The Above i i Acceptance of Terms &Conditions* j This grant is conditional upon Grantee's acceptance of the terms and conditions set forth ' f herein. By selecting the"I Accept Grant Terms and Conditions" below Grantee agrees to accept i I and comply with the stated terms and conditions of this grant. ! Q. I Accept Grant Terms and Conditions Q 1 Decline Grant Terms and Conditions j Please note: by entering your information and selecting"I agree",you are: jj 1. Representing that you are an officer or other agent of the applicant authorized to enter into legally binding agreements on behalf of the applicant; 2. And agreeing that your insertion of information in the following fields constitutes an electronic signature. j j Confirmation* agree j { Name and Title of Individual Entering Agreement* I( I Angie Fordyce, Coordinator j Qi Due on 05/3012019. Save Follow Up Submit Follow Up