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 - 10/7/2019
FINANCE DEPT. STAFF ONLY LINE ITEM USED TRAVEL REQUEST FY-30BUDGETED 8✓�(JD �� CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATES �1— Original-Clerk/Finance Copy-Department NAME(S) AND POSITION(S): DATE: Amended-Anita Rousselow and Jenna Northey 7-25-2019 Administrative Secretary and Intake/Project Specialist NAME OF CLASS/ MEETING: DESTINATION: HOME Basics St. Paul, Minnesota DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: October 7, 2019 October 10, 2019 October 8-10, 2019 PURPOSE OF TRAVEL/TRAINING: National Community Development Association is delivering a three-day basic certification course on the HOME Investment Partnerships (HOME) Program. The course will provide a basic, but comprehensive overview of the HOME program which includes fundamentals of the program, eligible and prohibited activities, eligible costs, CHDO's, match requirements, program administration and complying with federal requirements. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: 620 Mulberry Street ESTIMATE OF COST: BUDGET LINE ITEM: 224-32-5870-1346 1400.00 LODGING 200.00 TAXI x GRANT REIMBURSABLE 300.00 MEALS 100.00 PARKING YES NO BG14H.0001 900.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION 170.00 MILEAGE/FUEL 100.00 MISC/TOLLS YES NO TOTAL FOR ALL: $ 3170.00 TOTAL: $ 1585.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS,NECESSARY AND BENEFICIAL TO THE CITY WATERLOO J1 x le .�( ��-'1 DE TME T HEA _ MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM VSED 010-11-1100-1346 TRAVEL REQUEST FY _2020_ BUDGETED 63000 CITY OF WATERLOO EXPENDED YTD /A c(/(0 THIS REQVEST �D LEFT AFTER THIS REQUEST ye iG3 al DATE -/1 Original-Clerk/Finance Co - Department NAME(S) AND POSITION(S): DATE: Ruth Muller and Ryan Doland October 5th, 2019 NAME OF CLASS I MEETING: DESTINATION: Ames, Iowa Evidence Management Class DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Return Date: DATE(S) OF MEETING: 10/22/19 10/22/19 October 22, 2019 PURPOSE OF TRAVEL: Lt. McClelland is requesting to send Property Manager Ruth Muller and Ryan Doland to an Evidence Management course in Ames Iowa October 22, 2019. Both Ruth and Ryan work alone in the Waterloo Police Department's Property Division. Dealing with Seized and abandoned property along with all other evidence that is gathered by our officers every day is more than a full time job. This course deals with managing evidence, the ever changing law changes dealing with evidence and organization. This is a one day course and the cost for this training will not exceed$420.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ N/A YES NO METHOD OF TRAVEL: XXXXXXXX CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: $0.00 LODGING TAXI X GRANT REIMBURSABLE $30.00 MEALS PARKING YES NO $390.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $0.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 420.00 TOTAL: $ 210.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND EFICIAL TO THE CITY OF WATERLOO s` DEPARTMENT HEAD MAYOR l o%s//q DATE DATE FINANCE DEPT, STAFF ONLY LINE ITEM USED R64 /7-71Z /3� TRAVEL REQUEST FYAO,QO BUDGETED 36)U() CITY OF WATERLOO EXPENDED YTD - THIS REQUEST LEFT AFTER THIS �✓ REQUEST Sl'Sb DATEt.� Original-Clerk/Finance Cop - Department NAME(S) AND POSITION(S): DATE: Nate Alderman, Electrician October 3, 2019 NAME OF CLASS/ MEETING: DESTINATION: Iowa City, Iowa Common Violations &Industrial Code Update DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: November 21, 2019 November 21, 2019 November 21, 2019 PURPOSE OF TRAVELITRAINING: Satisfies the requirement for the new State of Iowa Electrical Licensing law. Finding problems and solutions to the most common mistakes that are made in the wiring of new facilities. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ YES NO METHOD OF TRAVEL: XX CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 266-17-7120-1346 LODGING TAXI GRANT REIMBURSABLE MEALS PARKING YES NO 130.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION 15.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 145.00 TOTAL: $ 145.00 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 L � DE R MENT HEAD MAYOR /OZE 2 � DATE V f DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1100=1346 TRAVEL REQUEST FY_2020_ BUDGETED CITY OF WATERLOO EXPENDED YTD f3/e THIS REQUESTyr LEFT AFTER THIS REQUEST 3rJloGX y/ DATE 2;7;7& /9' y-/y Original-Clerk/Finance Co -Department NAME(S) AND POSITION(S): DATE: Lt. Aaron McClelland, Sgt. Mike Girsch, and Officer Darin October 5th, 2019 Rulapaugh NAME OF CLASS I MEETING: DESTINATION: Cedar Rapids, Iowa Firearms Instructor Recertification Course DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Return Date: DATE(S) OF MEETING: 10/28/19 10/28/19 October 28, 2019 PURPOSE OF TRAVEL: Capt. Mohlis is requesting to send Lt. McClelland, Sgt. Girsch, and Officer Rulapaugh to the Firearms Instructor Recertification Course in Cedar Rapids, Iowa October 28, 2019. This is a required on day certification for every firearms instructor. This recertification is good for 2 years. The cost for this course will not exceed$495.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ N/A YES NO METHOD OF TRAVEL: X(X>O(XXX CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: $0.00 LODGING TAXI X GRANT REIMBURSABLE $45.00 MEALS PARKING YES NO $450.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $0.00 MILEAGE/FUEL MISCITOLLS YES NO TOTAL FOR ALL: $ 495.00 TOTAL: $ 165.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATER t/, a. _ DEPARTMENT HEAD MAYOR DATE DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED TRAVEL REQUEST FY;UA0 BUDGETED 5-17120 CITY OF WATERLOO EXPENDED YTD 43 6a B5 THIS REQUEST 176-D LEFT AFTER THIS /t REQUEST 5-0 DATE � /O-f-/ Original-Clerk/Finance Copy- Department NAME(S) AND POSITION(S):Abraham Funchess, Ex. DATE: Director; Rebecca Johnson, HR Specialist; Shelly Burch, September 27, 2019 Adm. Secretary NAME OF CLASS I MEETING: DESTINATION: Memphis, Birmingham, Montgomery and 2019 Freedom Bus Tour Selma DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: November 11, 2019 November 15, 2019 November 11 — 15, 2019 PURPOSE OF TRAVEL: To attend the 2019 Freedom Bus Tour which promotes inclusion and economic justice. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE X PRIVATE VEHICLE AIRFARE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: BUDGET LINE ITEM: 010-27-2505-1346 $1050 LODGING TAXI GRANT REIMBURSABLE $700 MEALS PARKING YES NO REGISTRATION AIRFARE REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 1750.00 TOTAL: $ 583.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF,7 00 NVVv �- DEPARtMOT HEAD MAYOR DATE are oo ies orms rave Re quest orn- anuary 2010 � �' t ,, " � �`. .. k " 4.. - ' `�_�i . i g.. . � �` �`� ,.4 � �. . Z p 1 a i FINANCE DEPT. STAFF ONLY LINE ITEM USED 46�?S TRAVEL REQUEST FY 9LP BUDGETED /��V •� CITY OF WATERLOO EXPENDED YTD THIS REQUEST /g`T LEFT AFTER THIS REQUEST 7310 DATES Original-Clerk/Finance 'Copy-Department NAME(S) AND POSITION(S): DATE: Sam Barrett, Sanitation Director September 24, 2019 NAME OF CLASS/MEETING: DESTINATION. Cedar Rapids, Iowa National Seminars Training—How To Supervise People DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: November 14, 2019 November 14, 2019 November 14, 2019 PURPOSE OF TRAVEL/TRAINING: Workshop on Fresh Ideas and Proven Techniques for Managing Yourself and Managing Others. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ YES NO METHOD OF TRAVEL: XX CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 525-15-5400-1346 LODGING TAXI X GRANT REIMBURSABLE $ 15.00 MEALS PARKING YES NO $149.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $20.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 184.00 TOTAL: $ PER PERSON 1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DE ART`EN EA MAYOR a DATE - DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY \� LINE ITEM USED 010-11-1100-1346 TRAVEL REQUEST FY _2020_ BUDGETED 3 Ooh CITY OF WATERLOO EXPENDED YTD (py c�3i2 uT THIS REQUEST LEFT AFTER THIS '/ e REQUEST 4eG, r/-J DATE �yjrJ g-J9 /y Original-Clerk/Finance �Co -Deportment NAME(S) AND POSITION(S): DATE: Sgt. Melissa Ludwig September 12th, 2019 NAME OF CLASS I MEETING: DESTINATION: Des Moines, Iowa Precision Driving Instructor Recertification Course DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Return Date: DATE(S) OF MEETING: 9/18/19 9/18/19 September 18, 2019 PURPOSE OF TRAVEL: Lt. McClelland is requesting to send Sgt. Ludwig to Precision Driving Instructor Recertification in Des Moines Iowa September 1 e, 2019. This is a one day re certification needed to keep instructing our officers at the Waterloo Police Department. This course is sponsored by the Iowa Law Enforcement Academy and the cost for this course will not exceed$150.00. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ N/A YES NO METHOD OF TRAVEL: XXXXXXXX CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: $0.00 LODGING TAXI X GRANT REIMBURSABLE $0.00 MEALS PARKING YES NO $150.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION $0.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 150.00 TOTAL: $ 150.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS-Nf-CESSARY AND BENEFICIAL TO THE CITYbF WATERLOO DISPAR MENT HEAD MAYOR l C"i DATE DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED O/d A9 /d(M TRAVEL REQUEST FY&WBUDGETED CITY OF WATERLOO EXPENDED YTD �a 3� THIS REQUEST j'60 LEFT AFTER THIS (�( REQUEST DATE 'Mr.✓ 9'aD'ijl Original-Clerk/Finance Copy-Department NAME(S) AND POSITION(S): DATE: Chris Ferguson, Fire Marshal 09/18/2019 Brock Weliver, Fire Prevention Officer NAME OF CLASS/MEETING: DESTINATION: Waterloo, IA Fundamentals of Interview and Interrogation DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 10/14/2019 10/16/2019 10/14-10/16 PURPOSE OF TRAVELITRAINING: This is an interactive three day course that teaches legally sound interview skills and techniques. The course also covers methods of interrogations as well as future trends. 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: LODGING TAXI X GRANT REIMBURSABLE MEALS PARKING YES NO $850 REGISTRATION AIRFARE X REQUIRED CERTIFICATION MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 850 TOTAL: $ 425 PER PERSON I BELIEVE THI PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS N SSA A D BENE CI) TO THE CITY OF ATERL C DEPARTMENT HEAD MAYOR DATE DATE K:\Shared Good ies\Fonns\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED f( 00 �3TV TRAVEL REQUEST FY;d,i) BUDGETED �SU CITY OF WATERLOO EXPENDED YTD THIS REQUEST IQ1 LEFT AFTER THIS REQUEST 3 9�o DATEyf aJ 'OrO/9 Original-Clerk/Finance Co -Department NAME(S) AND POSITION(S): DATE: Martin M. Petersen, City Attorney November 22, 2019 NAME OF CLASS / MEETING: DESTINATION: Johnston, Iowa Iowa Municipal Attorneys Assoc. Seminar DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: November 22, 2019 November 22, 2019 November 22, 2019 PURPOSE OF TRAVEL/TRAINING: Iowa Municipal Attorneys Association Seminar-continuing legal education credits and most recent items being discussed by municipalities. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE x PRIVATE VEHICLE AIRFARE DEPARTING FROM: Parkersburg, Iowa ESTIMATE OF COST: BUDGET LINE ITEM: 010-06-8600-1346 LODGING TAXI x GRANT REIMBURSABLE MEALS PARKING YES NO 65.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION 118.25 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 183.25 TOTAL: $ 183.25 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 DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 IOWA MUNICIPAL ATTORNEYS ASSOCIATION Upcoming Training New City Attorney Institute Thursday, November 19, 2020 2019 Annual Seminar Friday, November 22, 2019 Location: Hilton Garden Inn 8600 Northpark Drive Johnston, ]A 50322 (515) 270-8890 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-12-1415-1345 TRAVEL REQUEST FY.VV BUDGETED CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE -7'65 Original-Clerk/Finance Co -Department NAME(S) AND POSITION(S): DATE: Steve Carey September 23, 2019 NAME OF CLASS f MEETING: DESTINATION: Aurora/Brookings, SD Confined Space Rescue Recertification classes DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: September-30, 2019 October 3, 2019 October 1, 2&3, 2019 PURPOSE OF TRAVELITRAINING: To travel to Aurora to provide a Confined Space Rescue Recertification class for Valero Renewable Fuel. All of these expenses will be reimbursed through invoice to Valero. (Mileage includes travel between facility and hotel) Travel request late due to late request by company to change Training dates. 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: 010-12-1415-1345 300.00 LODGING TAXI x GRANT REIMBURSABLE 135.00 MEALS PARKING YES NO REGISTRATION AIRFARE x REQUIRED CERTIFICATION 291.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 726.00 TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST AND IS NECESSA BENEFICIAL TO THE CITY O�ATER DEPARTMENT HEAD MOR p ' ate. �� 1 (:)o � DATE DATE K:\Shared Goodies\Forms\Travcl Request Form January 2010 City Clerk Use Only Finance Committete Approval Date b/� �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 Airport Department to expend $ 6,000.00 plus est. shipping costs of $ to pay for or purchase Sand for use on the runways, taxiways, and ramps to improve braking action. This purchase or expenditure is being made because: Sand creates traction on runway surfaces to assist aircraft landing and taking off. Vendor selected for this purchase: BMC Aggregates Bids or written quotes were taken on this purchase, as follows: FX Bids or quotes were not taken on this purchase because: FAA requires a special grade of sand that is only available through BMC. 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 F-I Sewer ❑ Sanitation El Bonds EI Federal/other grants El Other(specify) This expenditure is to be coded to the following budget line-item: 010 29 7700 1371 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 114,005.00✓ d t e 'current available balance is $ 97,614.70 R s f ly flitted, . - 117 1/ AWL live- ` (Signature Dept or Designee) 15ate (Signature Finance Dept. Review) Date K:\shared good ies\fo rms\Airport Sand 2019-2020.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 Bldg Maint Department to expend $ 7,980.00 plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: Replace failed Niagara Controller at Fire Station #1 Vendor selected for this purchase: TRANE US INC. ❑ Bids or written quotes were taken on this purchase, as follows: FX Bids or quotes were not taken on this purchase because: This was an emergency repair over the weekend at Fire Station #1 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: 416-22-1400-2152 &418-22-1400-2152 (Fund - Department-Activity-Account Number) (Project Code) 4/0 y�8 in which the budgeted amount is $ !47,000 -7p,opo and the current available balance is $ ?d,DOd Respec ully submitted, .1 orw_lcl (Signature Dept. Head or Designee) Date (Signature Finance Dept, Review) Date K:\shared good ies\forms\Expenditu re Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date /7 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 Code Enf Department to expend $ 3,250.00 plus est. shipping costs of $ 0.00 to pay for or purchase Removal of one hazardous tree per court order at 308 Irving Street. This purchase or expenditure is being made because: Court order removal - charge back to property owner. Vendor selected for this purchase: Affordable Tree Service QX Bids or written quotes were taken on this purchase, as follows: Affordable Tree Service $3,250.00 Wilson Tree Service $3,600.00 Stuelke & Sons $5,530.00 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: 7 General Fund Road Use Tax 7 Sewer 7X Sanitation El Bonds Federal/other grants El Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5125-1390 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 and the current available balance is $ 337,2=36-.02' 2A Mr u� Respectfully submitte , /o (Signature Dept. Head or Designee) Date (Sighature Finance Dept. Review) Date KAshared goodies\forms\308 Irving Tree Bid 10-2-19(Mar 2010) oo hAstrW lo %,st;f) lois i tZeUPOR k1saxe toy f-wwwc) T' ym3 to vok ON M V V—P v -11 it IN wry., i!: ' Iv's ;I Fla it !?Ikaf.lwrjr)i It IE %n i busp A J no M! -q; Amyg 0 30 wc: t1e.T fl . �.. ey Fett Q N Pilot G tlkerton, IA J y h�-)s23 CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME G ADDRESS CITY,STATE,ZIP SOLD BY CASH G.O.D. CHARGE ON.ACCT I MDSE RETD. PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT 7 2 3 4 , 7 8 9 70 71 -------------- 12 7 ^ 13 1$ 15 16 17 _ 78 RECEIVED BY A-W5 T4632W W KEEP THIS SLIP FOR REFERENCE °'" MARIA DOWNING From: April Buis <wilsoncustomtree@outlook.com> Sent: Tuesday, October 01, 2019 1:29 PM To: MARIA DOWNING Subject: 308 Irving Bid: 308 Irving 2%z Tree Cluster, by Alley Clean up and hauled away $3,600.00 April Buls Wilson Custom Tree 212 Short Ave Cresco, IA 52136 563-547-4235 N-�ilsoncustointree@outlook.com wilsoncustomtree.com i & SON QTUELKE licensed professional esslonal BUILDERS & TREECUTTERS Date: Je_ , , TreeWOrk COntraCt for Address: qt?q .ter . 51- t�1r.:1et'i ' Name: `I r-L/ CcC Lia-fia^c:e' 0-v Phone: T!, -'q -3�� Description of Work: Sketching(s) el f y cj+ _`mac'-L . G kA ova "_v .I : Pricing is valid for 30(thirty) days and includes all labor, materials,permits,taxes and fees. Stuelke&Sons will professionally complete the work outlined above in this Contract for the sum of ), payable in two installments of ct )down upon acceptance of this Contract,and the remainder due upon final completion. Past due balances are subject to monthly interest of 1.5%(one-and-a-half)and later,collection costs. Other additional work requested by the Client will require a signed Change Order and be billed and payable as outlined in the signed Change Order. Client(s) CCUL+1 & s A, LX)4c . erstand(s)and accept(s)this Contract. Signed, r G ly` i U r ?-z date �— f-- Stuelke&Sons date Sarah Stuelke 319-939-2986 Office: 319-233-6245 Dixon D.Stuelke 319-429-6245 Office Manager 421 Belmont Avenue Waterloo, IA 50701 Proprietor City Clerk Use Only Finance Committee Approval Date �' 1 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 Code Enf Department to expend $ 1,750.00 plus est.shipping costs of $ 0.00 to pay for or purchase Removal of one hazardous tree per court order at a lot W of 136 Harrison Street. (Parcel: 8913-23-285-023) This purchase or expenditure is being made because: Court order removal - charge back to property owner. Vendor selected for this purchase: Affordable Tree Service OX Bids or written quotes were taken on this purchase, as follows: Affordable Tree Service $1,750.00 Wilson Tree Service $1,800.00 Stuelke & Sons $3,745.00 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 F Road Use Tax F Sewer ❑X Sanitation Bonds El Federal/other grants [_] Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5125-1390 (Fund- Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 &'� and the current available balance is $ 4 t 9743 ZI Respectfully submitted, (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAshared goodies\forms\Lot W of 136 Harrison Tree Bid 10-2-19(Mar 2010) i ,p.d.� � ._ •�.�;Ali }p�!+� gyp� ��y w.. lu+$g 0 :.' i• 3� 5'r t� i �'j yew@ �g y c�-. o ..Sta (!be J; 4(-.fy ,, p,:,:n ri ya`:)J Gf'i! ) .'�Jtb'M'#US . ,. ;.;It 'aG+,;..;.{.i•{� 9 W2 O' i i r � s_;^a)lam 00-- e H R l['III; '•. :r t r'"! °a 1 r,F_'[j .. s; ...fit .p-..•.�.,' ��>.�k_ mss, •, s n ti�t; y..,� ^t;., '1:, iv..�-� -, .. 1�' :Y- > ! +'pf.{;! �"{ ^.Py°� 'li3 r "'�1 iii-'-"ir'� r.Y.-ii•' "� ',i '. +z .je.+a! 3<'- i '>ft°>� tii�:r': '?.t's'r.'?i1'. r1• �'".1{ :. - ,�;� 'i�'f Cao}vf"i"o, -GI `'f, cir l:'''' nr� i- .:f Zia {yrti.F' 1, r..,.,. :)tv , f V P_ nG ie ng: 1,1(- ne yy � I')a- L^..r .._ ! _ ., 'iL< )r . ._i rt 7r�if` r -`;a;rry {Y. 4w+wvx-..,ia.».�..;:._. v.�.a�.tie-.ti,ti��aa�•«.�v1$(ak A6�fMY%re�xa 5n.::.. eM'�•.n.-.�n<e...,.......w?��IY�nNw-�f�'a�+wa•¢ n✓ru-gror.�-�.±ra.�,.{f.... n .f�<.._..r..w �'.6.' (�t, .'`"' �;t. "`f'c, S]�:.dam" r:a+'' ci• (�y !:9:: 7 `� ' '4� i Mbf able 11 e Fe 1-•O 4Q N Pilot VGfL kerton _ CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME 4 ADDRESS CITY,STATE,ZIP SOLD BY CASH C.O.D. CHARGE ON.ACCT MDSE.RETO. PAID OUT OUANTPfY DESCRIPTION PRICE AMOUNT 2 4 7 8 9 10 11 / 12 13 i& i5 16 17 13 RECEIVED BY 4 T-48320/L8350 KEEP THIS SLIP FOR REFERENCE T- MARIA DOWNING From: April Buls <wilsoncustomtree@outlook.com> Sent: Tuesday, October 01, 2019 1:27 PM To: MARIA DOWNING Subject: Siberian Tree,on vacant lot west side of 136 Harrison Bid For: Removal of Siberian Tree on vacant lot West Side of 136 Harrison Cleaned up and Hauled away $1800.00 April Buls Wilson Custom Tree 212 Short Ave Cresco, IA 52136 563-547-4235 NvIISoIlcustolliti-ee@outlook.com wilsoncustomtree.com i S �LKE & SQN licensed, professional BUILDERS & TREECUTTERS Date: Treework Contract for address: laf ,w5+o� Sp„ U a-*e'rlo® TA Name: G i• �9 rCe we-yk. r� V 1 bC!44 s 70'5 Phone: 3 ic?•a41 -3!9-2 Description of Work: ,I tchin s ct w' vu- vi C�'C 'i'i t,A-WLt) 4`10,M09ttcA t f I f f I i i r i I • Pricing is valid for 30(thirty)days and includes all labor,materials, permits,taxes and fees. Stuelke&Sons will profe tonally comp) to t6-work outlined above in this Contract for the sum of (Th �2 71w°Lsc t}use u er�t � / i`;v r;°lam,payable in two installments of$ 8' 7& (al e�'PW;.zsu l Ei4GrF 1 down upon acceptance of this Contract,and the remainder due upon final completion. wast-due bafancesxe subject to monthly interest of 1.5%(one-and-a-half)and later,collection costs. Other additional work requested by the Client will require a signed Change Order and be billed and payable as outlined in the signed Change Order. Client(s)4-orie understand(s)and accept(s)this Contract. Signed, G'ty ofdate Stuelke&Sons I V— date Sarah Stuelke 319-939-2986 Office: 319-233-6245 Dixon D.Stuelke 319-429-6245 Office Manager 421 Belmont Avenue Waterloo,IA 50701 Proprietor 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 Code Enf Department to expend $ 2,000.00 plus est.shipping costs of $ 0.00 to pay for or purchase Removal of two hazardous trees per court order at 3948 Cedar Terrace Drive. There are five trees total, these two are closest to the house so they are coming down first. This purchase or expenditure is being made because: Court order removal - charge back to property owner Vendor selected for this purchase: Affordable Tree Service �X Bids or written quotes were taken on this purchase, as follows: Affordable Tree Service $2,000.00 Wilson Tree Service $3,200.00 Stuelke & Sons $3,210.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates).- Please Dates):Please check the following box(es) as appropriate to describe the funding for this expense: General Fund Road Use Tax Sewer I ^1 Sanitation Bonds Federal/other grants Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5125-1390 (Fund- Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 " and the current available balance is $ Respectfully (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:lshared goodieslformsl3948 Cedar Terrace(2)Trees Bid 10-2-19(Mar 2010) Affordable Tree Serft P Joey l ettkether 8210 N Rilot Grove Road ) q— YU-- , ,l71 Dunkerton, IA 50526 CUSTOMER'S ORDER NO. DEPARTMENT DATE r - �CJ' NAME Waco COL e ? legt ADDRESS CITY,STATE,ZIP SOLD BY CASH C.O.O. CHARGE ON.ACCT. MDSE.RETD. PAID OW QUANTITY DESCRlPTlON PRICE AMOUNT I ' ! tf 3M C'Fdai, e�rcec 0 a ej ocl 10 s �. tehl „ ,z oct 1 `�z�►'►'���cG� l ,3 1'em - I 14 ,5 ,6ilk n r.a. 18 RECEIVED RY T-4632°i4535° KEEP THIS SLIP FOR REFERENCE °'" Wilson Custom Tree Jeff Wilson (Owner) 212 Short Ave Ph: 563-547-4235 Cresco, IA 52136 Fax: 563-547-3380 September 9, 2019 Bid for The Waterloo Code Enforcement: 1) 1006 Riehl $925.00 2) 3948 Cedar Terrace 2 tree's with Circles $3,200.00 3 trees's with X's $3,000.00 3) 1216 '/2 E Mitchell $450.00 4) 3445 E Shaulis It has been removed Jeff Wilson Wilson Custom Tree Cresco, IA 52136 563-547-4235 STUELKE & SON licensed, professional BUILDERS & TREECUTTERS Date: 5" Treework Contract for Address: 4� .a-- Name: Ltd Cc-t� -C Phone: Phone: _1ct Description of work: Sketching(s) j [I�.�• 21 ..�.ryyl J.� 1Llt.{l '�^V.��f 1 5'.\\ V 1 \ 1 f Pricing is valid for 30(thirty)days and includes all labor, materials, permits,taxes and fees. Stuelke&Sons will professionally com tete the work qutlined above in this Contract for the sum of$ 3 ( t k ' f{uv r e�- � �`� ; payable in two installments of$ 1!o U-`�— `= �'u t+ t viL "Lk t=E vN `t%fz a — rdown upon acceptance of this Contract,and the remainder due upon final completion. Past-due balances are subject to monthly interest of 1.5%Ione-and-a-halfi and later,collection costs. Other additional work requested by the Client will require a signed Change Order and be billed and payable as outlined in the signed Change Order. Client(s)(:�.,Le Ew'�e • --L+ C;'- o� ' `��t Irx understand(s)and accept(s)this Contract. Signed, -' �L1rr17tr�c2yt1�'..1t/ date Stuelke&Sons date Sarah Stuelke 319-939-2986 Office: 319-233-6245 Dixon D.Stuelke 319-429-6245 Office Manager 421 Belmont Avenue Waterloo,IA 50701 Proprietor City Clerk Use Only Finance Committee Approval Date 7 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 Code Enf Department to expend $ 2,850.00 plus est.shipping costs of $ 0.00 to pay for or purchase Removal of three hazardous trees per court order at 3948 Cedar Terrace Drive. There are two trees closer to the house that are coming down first then these three. This purchase or expenditure is being made because: Court order removal - charge back to property owner. Vendor selected for this purchase: Affordable Tree Service ❑X Bids or written quotes were taken on this purchase, as follows: Affordable Tree Service $2,850.00 Wilson Tree Service $3,000.00 Stuelke & Sons $5,350.00 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 QX Sanitation EI Bonds ❑ Federal/other grants [_] Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5125-1390 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 and the current available balance is $ H-,236-.02 38� Respectfully submitted, t (Signature Dept. Head or Designee) Date ( Ig ature Finance Dept. Review) Date KAshared goodieslforms13948 Cedar Terrace(3)Trees Bid 10-2-19(Mar 2010) EMILY RUSSELL From: EMILY RUSSELL Sent: Wednesday, October 02,2019 9:16 AM To: MARIA DOWNING Subject Joey w/Affordable Tree Service - 3948 Cedar Terrace Drive I just talked to Joey w/Affordable Tree Service and he said he wanted to submit a bid for$2,850.00 for the three trees further back on the property at 3948 Cedar Terrace Drive. Thanks, Emily Russell-Clerk City of Waterloo - Code Enforcement 626 Mulberry Street Waterloo, IA 50703 ph: 319.291.3820 emily.russellCabwaterloo-ia.org, PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS ADDRESS MAY BE SUBJECT TO PUBLIC DISCLOSURE. i Wilson Custom Tree Jeff Wilson (Owner) 212 Short Ave Ph: 563-547-4235 Cresco, IA 52136 Fax: 563-547-3380 September 9, 2019 Bid for The Waterloo Code Enforcement: 1) 1006 Riehl $925.00 2) 3948 Cedar Terrace 2 tree's with Circles $3,200.00 3 trees's with X's $3,000.00 3) 1216 % E Mitchell $450.00 4) 3445 E Shaulis It has been removed Jeff Wilson Wilson Custom Tree Cresco, IA 52136 563-547-4235 QTUELKE a SON licensed, professional BUILDERS & TREECUTTERS Date:— �. I�i Treework Contract for address: q y 3, ce �'•� u.9cz.�f i� .i y!} Name: c.=± , Gvde r-1 yfc ewl 6>0 ax&l ioovr�x 5t- 31)703 Phone: 31cf-agt�;35 Description of Work: Sketching(s) CA 5 - yX biu oEL r f 4 f _ 3 Pricing is valid for 30(thirty)days and includes all labor, materials,permits,taxes and fees. Stuelke&Sons will pro ssionaly p IY complete he work outlined above in this Contract for the sum of$ 35 payable in two installments of$ 2!0 75--- ev i ve.` `down upon acceptance of this Contract,and the remainder due upon final completionaa:t die eaian are subject to monthly interest of 1.5%(one-anda-half)and later,collection costs. Other additional work requested by the Client will require a signed Change Order and be billed and payable as outlined in the signed Change Order. Client(s)C.c?ct,e F—vt�e('c-ewt&--vLf C1: i j ( )A.-{'e f' erg understand(s)and accept(s)this Contract. Signed, ate Stuelke&Sons date Sarah Stuelke 319-939-2986 Office: 319-233-6245 Dixon D.Stuelke 319-429-6245 Office Manager 421 Belmont Avenue Waterloo,IA 50701 Proprietor 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 Engineering Department to expend $ 6,000.00 plus est. shipping costs of $ to pay for or purchase railroad protective flagging This purchase or expenditure is being made because: FY 2019 Sidewalk & Trail Repair Program - Zone 9, Contract#981 has three pedestrian /railroad crossings that require repair. Railroad requires flagging for work in RR ROW. Vendor selected for this purchase: Iowa Northern Railroad ❑ Bids or written quotes were taken on this purchase, as follows: FX Bids or quotes were not taken on this purchase because: Iowa Northern Railroad employees provide flagging at at requestor's expense Prior Committee Actions (Dates): N/A Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund EI Road Use Tax ❑ Sewer ❑ Sanitation FX Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 07- 765v arty (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 0�9G and the current available balance is $ d 9flS;g� Respectfully submitted, ignature Dot. Mead or Designee) D to (Signature Finance Dept. Review) Date KAshared good ies\forms\Expenditure Pre-Authorization.xis(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 WFR Department to expend $ 1,322.00 plus est. shipping costs of $ N/A to pay for or purchase Chains for new fire apparatus 303. This purchase or expenditure is being made because: Equipment for new 303 Vendor selected for this purchase: Rud Chain Inc. ❑ Bids or written quotes were taken on this purchase, as follows: Fx Bids or quotes were not taken on this purchase because: Single Source Provider Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: EI General Fund F—I Road Use Tax F—I Sewer F—I Sanitation El Bonds 1:1 Federal/other grants II 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 $ 41;41i "9E R spectfully su mitte (Signatur Dept. ad or Designee) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Chains for 303.xls(Mar 2010) Page: 1 Quote Y Order#: 0120341 RUD RUD-CHAIN,INC. Order Date: 9/17/2019 PO Box 367 Hiawatha,IA 52233 Customer#: 05-WATERFD Phone:800.553-7993 Fax:877-512.7209 Sold To: Expire Date: 10/31/2019 WATERLOO FIRE DEPT. 425 EAST 3RD WATERLOO, IA 50703 WE SUBMIT THE FOLLOWING QUOTATION FOR YOUR CONSIDERATION: Salesperson F.O.B. Terms User ID ROTOGRIP CLASSIC NET 30 KKE Item No/Descrip U/M Ordered Unit Price Amount 4716923 PR 1.00 1,176.00 1,176.00 SUPER GRIEFSTEG(22190) 144 PR 1.00 146.00 146.00 OLYMPIA SPRINT SINGLE(EC700) FOR TIRE SIZE 12R22.5. CURRENTLY AVAILABLE IN STOCK. IF YOU HAVE ANY QUESITONS, PLEASE FEEL FREE TO CONTACT ME. THANK YOU, KATIE ELSBURY Net Order: 1,322.00 If you have additional questions or comments, please contact me at; Freight: 0.00 Phone No: Sales Tax: 0.00 E-mail: Total Order: 1,322.00 City Clerk Use Only Finance Committee / Approval Date Dr 1 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 Central Garage Department to expend $ 2,589.39 plus est. shipping costs of $ 150.00 to pay for or purchase 6" Water Pump This purchase or expenditure is being made because: Replace 6" water pump taken out of service for Waste Management Vendor selected for this purchase: Harrison Truck Center FX Bids or written quotes were taken on this purchase, as follows: Harrison Truck Center Waterloo, IA $2,589.39 Sadler Power Train Waterloo, IA $2,600.04 Mutual Wheel Waterloo, IA $2,612.00 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 F Road Use Tax Sewer F Sanitation FBonds El Federal/other grants Other(specify) This expenditure is to be coded to the following budget line-item: 010-15-7955-1569 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 265,000.00 ✓ and the current available balance is $ Respectfully submitted, ignature Dept. ad or Designee) l5ate (SiiggnFature Finance Dept. Review) Date KAshared goodies\forms\2019-September-Pre-Auth-6 inch Water Pump-Harrison Truck Center-Garage for Waste Mgt-010-18-7955-1569- $2,589.39.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date �/�/t d City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Central Garage Department to expend $ 2,641.88 plus est. shipping costs of $ to pay for or purchase Labor and materials to skin bucket for Trac Hoe - #194H01 This purchase or expenditure is being made because: Replace bottom half of bucket as it was too thin and had holes in it. Only local vendor to repair bucket Vendor selected for this purchase: C and C Welding FX Bids or written quotes were taken on this purchase, as follows: C and C Welding Waterloo, IA $2,641.88 Bids or quotes were not taken on this purchase because.- Prior ecause: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 E� Sanitation EI Bonds ❑ Federal/other grants F Other(specify) This expenditure is to be coded to the following budget line-item: 010-1#7955-1569 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 265,000.00 r/ and the current available balance is $ T_oeg.�� /W911 -;' 771' Respectfully submitted, B (t gnature Dept Head or Designee) ate (Signature Finance Dept. Review) Date K:\shared goodies\forms\2019-September-Pre-Auth-Skin bucket for Trac Hoe-C&C Welding-Garage-010-18-7955-1569-$2,641.88.As (Mar 2010) City Clerk Use Only Finance Committee (b/n/fG Approval Date ! 1 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 Garage Department to expend $ 3,825.80 plus est. shipping costs of $ 150.00 to pay for or purchase 36" diameter Hammer and Misc parts for Tub Grinder at Yard waste Site This purchase or expenditure is being made because: To repair Tub Grinder on site at the Yard Waste Site. (only Vendor to supply parts) Vendor selected for this purchase: Vemeer ❑X Bids or written quotes were taken on this purchase, as follows: Vemeer Sales & Service, Inc. Pella, IA $3,825.80 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 F� Road Use Tax F—I Sewer F—] Sanitation F] Bonds ❑ Federal/other grants EI Other(specify) This expenditure is to be coded to the following budget line-item: 010-18-7955-1569 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 265,000.00 and the current available balance is $ 149,452.78 Respectfully submitted, (Signature Dept. Fral orrDesignee) Date (Sign tur� Dept. Review) Date KAshared goodieslforms\2019-October-Pre-Auth-Parts for Tub Grinder-Vemeer-Garage-Sanitation-$3,943.00-010-15-7955-1569.xis(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 Human Resource: Department to expend $ 1,500.00 plus est. shipping costs of $ to pay for or purchase union contract books for each union member, supervisor and department head This purchase or expenditure is being made because: new union contracts were negotiated eff 7/1/19 Vendor selected for this purchase: Waterloo Community Schools Bids or written quotes were taken on this purchase, as follows: Fx Bids or quotes were not taken on this purchase because: existing printing services agreement with the school system Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: Ox General Fund EI Road Use Tax ❑ Sewer ❑ Sanitation FBonds E Federal/other grants F Other(specify) This expenditure is to be coded to the following budget line-item: (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 116,, ovo and the current available balance is $ J-' Respect Ily submitter.') (Signature Dept. Head or Designee) Date Signature Finance Dept. Review) Date KAshared goodies\forms\Expenditure Pre-Authorization.xis(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 HR Dept Department to expend $ 13,000.00 plus est. shipping costs of $ to pay for or purchase City of Waterloo employee Wellness plan expenses as approved by Council on 2/8/16 This purchase or expenditure is being made because: FY20 Wellness Plan anticipated expenditures are as follows: $12,000 for biometric screenings, $400 for admin expenses and $600 for quarterly weight loss challenges Vendor selected for this purchase: Allen Occupational Health ❑x Bids or written quotes were taken on this purchase, as follows: Bids taken with Wellness Plan creation. Allen Occupational Health is current provider and only bidder able to accommodate multiple on-site visits and full integration with medical records. EI Bids or quotes were not taken on this purchase because: existing printing services agreement with the school system Prior Committee Actions (Dates): 2/8/16 Council Work session 21uS Ann i?ld PH - Aug Please check the following box(es) as appropriate to describe the funding for this expense: Ox General Fund 0 Road Use Tax EI Sewer El Sanitation ❑ Bonds El Federal/other grants EI Other(specify) This expenditure is to be coded to the following budget line-item: 010-03-8950-1368 ($12,000) 010-03-8950 1319 ($1,000) (Fund - Department-Activity-Account Number) (Project Code) /3!¢g /iiy in which the budgeted amount is $ 5, 4cy28 .33 G(go and the current available balance is $ (0?93, S5G �V�02i Respectfully submitted, �/ ��•li'ri'LA�w LV �7'/y//C (Signature Dept. Head or Designee) Date (Sig ature Finance Dept. Review) Date K:lshared goodieslforms\Expenditure Pre-Authorization.xis(Mar 2010) City of Waterloo Wellness Program The City of Waterloo will implement a new wellness program to help motivate employees to live a healthier lifestyle. It will consist of different components or plans that will lead city employees to a healthier and happier life.The program is available to all benefit eligible employees. Wellness Plan Directive #1: Measure It! The Biometric Incentive Employees take an on-site biometric test annually to learn their health status as it pertains to eight major risk factors that contribute to poor health conditions. The testing will be free to j employees and retirees and will be run through our health insurance as a claim. E Wellness Plan Directive #2: Get Active E f Challenges ! 4 The Quarterly Challenge Incentive F Engage employees in low cost challenges that are easy to participate in. Employees self-report € participation in things like daily walking, dally water consumption, etc. and prizes are given at the end of each quarter. The cost of this program is$400 per year plus$600 per year for prizes. l a Wellness Plan Directive #3: Reward Activity! F 2 The Sportsplex Incentive g r As the employer with the largest payroll deduction participation,the sportsplex would like to offer a 20% Discount in place of the current 15% Discount. Jacob Frederick will-create a workout plan and give one free training session (group sessions only)for new Sportsplex l members who are also City employees. The goal is that with more employees joining and working out,we will see reduced health care claims and increased membership; resulting in a a reduction of expense and increase of revenue for the City, i n i I i 3 l 3 COUNCIL WORK SESSION February 8, 2016 4:35 p.m. Harold E. Getty Council Chambers Members present: Jacobs,Jones, Schmitt,Lind,Morrissey, Welper, and Amos. Jacobs arrived at 4:38 p.m. Moved by Schmitt seconded by Morrissey that the Agenda, as proposed,be approved. Objective: Discuss Proposed Wellness Plan, Suzy Schares, City Clerk/Human Resources Director,presented a proposed Wellness Plan for the City of Waterloo and explained that a Wellness Plan boosts employee productivity and reduces claims costs. Schares explained that a biometrics screening which included a questionnaire, blood test, and other basic tests was held in 2015 and the results became the baseline for the wellness plan. Schares provided an overview of the overall employee health. The Proposed Wellness Plan would include creating a better mental health program as 265 employees noted on their questionnaire that they sought mental health services within the last calendar year, The plan would also include voluntary financial wellness counselling, continued biometrics screening, and a twenty percent reduction in employee memberships to the } SporlsPlex. Schares noted that six employee memberships would offset the twenty percent reduction. i Schares outlined the health insurance rates that will go.into effect at the start of the next fiscal ? year and implementation for the proposed wellness plan during FYI 8-19 as follows: Continued biometrics screening, share percentage of premium increases for FYI 8-19, and build incentive program. Incentives would be monetary rewards to be used towards wellness related items. Mr. Welper questioned whether employees are healthy. l t tend to eat unhealthy andScharEs explained the biometrics results were matched up with national averages. Employees the biometrics screening helped employees catch problems they did not realize they had. Mr. Morrissey questioned if employees differentiated between the high levels of stress at home € and work on the questionnaire. 6 C Schares affnrned that the questionnaire differentiated between stress at home and work and explained that the employer needs to do something that about the employee stress level. s Mr. Amos questioned if the number of employees seeking mental health treatment included t employees who return for additional mental health treatment. Schares explained that the total number reflects the number of individuals on the plan who sought mental health treatment. 1 Mr. Lind questioned how much the proposed plan would cost. Schares explained that in the initial year with the EAP program, the budget will increase to $15,000. Enough claim reduction should occur to cut back on costs. Statistically, organizations i f Page 2 Mr. Jones questioned difference between current number of participants and the benefitted employees. 5chares explained that benefitted employees include individuals who are employed by the city and carrying health insurance participants include the dependents because dependent health costs directly affect the cost of the plan for the city. Mi. Jones asked and Schares responded that the city has 1800 individuals and 140 retirees are covered on the health insurance plan. With no further business before the Council, it was moved by Schmitt seconded by Lind that the meeting be adjourned at 5:07 p.m. Ayes:All. Motion carried. Kelley Felchle Deputy City Clerk i i f 1 bb 3 s s 'c d 's 5 4 E ]9 S E § 2 5� f {E fi d i d t 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 $ 24,630.00 plus est. shipping costs of $ n/a to pay for or purchase pact management & consulting services for roof replacement/repairs at Young Arena. AMENDED-- to modify bid services & construciton fee services for west roof only. This purchase or expenditure is being made because: the east and west roofs are in need of repair and repalcement. This project also supports the City's Strategic Plan, 4.5-"Maintain City facilities that support quality of place". Vendor selected for this purchase: Benchmark, Inc, Cedar Rapids Iowa ❑ Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: competitive bids are not required per Chapter 26 of the Iowa Code. Prior Committee Actions (Dates): Approved on 02/04/2019 Please check the following box(es) as appropriate to describe the funding for this expense: EIGeneral Fund Road Use Tax ❑ Sewer ❑ Sanitation F] Bonds Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line-item: 418-22-4500-2152 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 43o4wa-m and the current available balance is $ -t"1�0 /Q 6.1700 v Respectfully submitted, (Signature Dept.opllor Designee) Date (Signature Finance Dept. Review) Date KAshared good ies\forms\2019 Roof Replacement Consulting Services Pre-Authorization.xls(Mar 2010) City Clerk Use Only Finance Committee \�7)� 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 $ 22,777.52 plus est. shipping costs of $ n/a to pay for or purchase (48) LED Metalux LED fixtures, hardware and controls for Young Arena This purchase or expenditure is being made because: The new fixtures will futher enhance the light quality for events & are energy rebate eligible. Supports the City's Strategic Plan, 4.5-"Maintain City facilities that support quality of place". Vendor selected for this purchase: Van Meter, Waterloo Iowa x Bids or written quotes were taken on this purchase, as follows: Van Meter, Waterloo Iowa $22,777.52 Crescent Electric, Waterloo Iowa $22,826.92 AES Lighting Group, Dubuque Iowa $24,535.21 El Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax ❑ Sewer F� Sanitation Ox Bonds 1:1 Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line-item: 419-37-4500-2152 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 77 000.00 and the current available balance is $ T7-, 00 (�G. 700 Respectfully submitted, 11-1-DeA4 :� - le!�.-t -//v� /�IZ�J '(&ig7' ture Dept. Hea or signee) Date (Sign ture Finance Dept. Review) Date K:\sshared goodies\forms\Z LE Ice Lighting Replacement Pre-Authorization xls(Mar 2010) City Clerk Use Only Finance Committee �a/�/1� Approval Date� City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following Department to expend purchase or expenditure submitted by the Sanitation D pay for t purchase documents and oste $ 6500 (not to exceE plus est. shipping costs of $ a new rec clin ro ram si n-u This purchase or expenditure is being made because: Vendor selected for this purchase: POS Qx Bids or written quotes were taken on this purchase, as follows: POS - inlcudin osta e - $6,198.40 Matt Parrott- NOT includin osta e - $5,993.30 lus shi in DBids 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: 0 General Fund El Road Use Tax M Sewer Qx Sanitation MBonds 0 Federal/other grants M Other(specify) This expenditure is to be coded to the following budget line-item: 525-15-5400-1343 Pro ect Code) (Fund - Department-Activity-Account Number) ( 1 in which the budgeted amount is $ 21,000.00 and the current available balance is $ 17,631.95 Respectfully submitted, / r KA,JdY w • %• (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Slife Consulting Pre auth 3.xls(Mar 2010) MICHELLE WEIDNER From: RANDY BENNETT Sent: Friday, October 04, 2019 12:21 PM To: MICHELLE WEIDNER Subject: FW: Flyer Cost From:Samuel Barrett<Samuel.Barrett@WATERLOO-IA.ORG> Sent: Friday, October 4, 2019 12:16 PM To: RANDY BENNETT<RANDY.BENNETT@WATERLOO-IA.ORG> Subject: Flyer Cost POS Quote Fatt Parrott/Storey Kenworthy Quote: Brochure -$1,758.28 1 have pricing for you on the following Postcard -$899.02 bid $5,993.30, +shipping Envelope-$1,869.69 MAILSERVICE Addressing—Collating—Inserting $1,671.41 Total: $6198.40 Please note that Matt Parrott did not quote postage,with that being said POS is cheaper and we have a history of great service with them. Thank you, f Sam Barrett Operations Supervisor Sanitation Department City of Waterloo, Public Works Division Samuel.Barrett@Waterloo-IA.ORG 319-291-4445 https://www.facebook.com/waterloosanitationdepartment/ 1 City Clerk Use Only Finance Committee (Approval Date l 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 $ 7.370.31 plus ext. shipping cost of $ 0.00 to pay for or purchase REPAIR OF TRACTOR CAMERA SERIAL NO. 15102701 This purchase or expenditure is being made because: WATER INFILTRATION AND OTHER REAPIRS TO SEWER TRACTOR CAMERA 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 PROVIDER FOR REPAIR OF SEWER CAMERAS Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: RGeneral Fund: Road Use Tax: Sewer: Sanitation: Bonds: Federal/other grants: F—]Other(speclfy): This expenditure is to be coded to the following budget line-item: 510-14-5e00-1571 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 400,000.00 ✓ 3� / and the current available balance is $ 29rs52 t-87 .Zktr /171 Respe'ctfuJly sGbmltted� Sig ature Dept' ead Or Designee) Date (Signature Finance Dept. Review) Date 515 5TH STREET - PO BOX 398 Invoice MUNICIPAL HUDSON, IOWA 50643 Invoice Number: PIPE TOOL� Phone: 319-988-4205 Fax: 319-988-3506 31161 S Invoice Date: WWW.MUNIPIPE.COM Sep 20,2019 "We Protect the Environment' RECD SEP 2 3 2019 291-4311 Sold To: Ship to CITY OF WATERLOO 3505 EASTON AVENUE CITY CLERK WATERLOO, IA 50702 715 MULBERRY ST WATERLOO, IA 50703 Customer ID Order Number Payment Terms WATERLcity JOE SCHAEFER Net 15 Days Sales Rep ID Shipping Method Ship Date r Due Date 06ROBINSON UPS 9/19/19 10/5/19 Quantity Description Unit Price Extension 1.000 REPAIR FOR: SPR SERIAL NO: 15102701 SALES ORDER NO:000701657 4,332.880 4,332.88 543724 Subtotal 4, 3 32.8 8 We Provide: Sewer Cleaning I Televising I Maintenance Contracts Sales Tax 0.00 Grouting 11/1 Reductions I CIPP Lining Freight 37.43 Equipment Sales & Service Total Invoice Amount 4, 370.31 Municipal Pipe Tool Core Values: Please note: Our payment terms have changed Safety I Unity I Results I Proactive effective April 18, 2019. Thank you in advance Relationships I Determination I your prompt payment! Interest Rates: Invoices are due 15 days after date of invoice. Interest will be charged on all past due invoices at the rate of 1.5%per month, If payment is received within 15 days of invoice,interest will be assessed from the first day past due. Statements will be sent on a monthly basis. Wednesday, September 18, 2019 Cues Page 1 1 +. Sales Order Packing List Sales Order Number : 000701657 Rev # 14 Cues, Inc. Order Date Ship Location 3600 Rio Vista Avenue 8/9/2019 WI/SERV Orlando, FL 32805 (407) 849-0190 Customer P.O. # : VERBAL BRYAN Contact : JOE SCHAEFER Requested By : TJUNIOR/SPAWLAK Salesman : TRAVIS JUNIOR Hold Code : Bill To Customer # Ship To Customer # Phone Number 50643000 50643009 3199884205 Bill To Address Ship To Address MUNICIPAL PIPE TOOL CO. WATERLOO, CITY OF P.O. BOX 398 3505 EASTON AVE HUDSON, IA 50643 WATERLOO, IA 50702 Terms 01 Ship Via : 15 FOB 02 Ln Part Number Description Qty Due Qty Shipd Unit Price Ext Price --- ------------------------- ----------------------------------- ------- --------- ---------- ----------- 001 8800000 LABOR,ELECTRONIC PER HR. 6 Ship From : WI/SERV 002 7700000 CONSUMABLE STOCK CHARGE 1 Ship From : WI/SERV 003 HW1563 SEAL,25ID X 32OD X 4MM W,RUBBER 8 Ship From : WI/SERV 004 HW568 BEARING, .375"ID X .875"OD 1 Ship From : WI/SERV 005 HW2799 O-RING,37X1MM,BUNA-N 70 2 Ship From : WI/SERV 006 HW2788 SEAL,1/2X.749X.165,DBL LIP 2 Ship From : WI/SERV 007 HW605 RING,RETAIN.,SPIRAL, .5001D, .035 THK 2 Ship From : WI/SERV 008 WT046 O-RING,2-175,BUNA,F/ PR SIDE COVERS 2 Ship From : WI/SERV 009 HW1000 0-RING,2-155 BUNA 1 Ship From : WI/SERV 010 HW693 O-RING,2-043,BUNA-N 1 Ship From : WI/SERV 011 HW1921 BEARING,BALL,37MMX25MMX7MM 1 Ship From : WI/SERV EXTRA THIN METRIC SERIES: 6700,6800 012 WS136 GEARMOTOR,SL-MTI, F/ SPR+LAMPII 1 Ship From : WI/SERV USE WS135 F/ SPARE MOTOR ONLY 013 WS100 BEARING,PLAIN, D SHAFT,SINGLE POINT 1 Ship From : WI/SERV 014 WS111 SHAFT, DRIVE, SINGLE POINT 1 Ship From : WI/SERV 015 RP005 O-RING,2-023,SILIC0NE 1 Ship From : WI/SERV 016 130115 0-RING,2-018,EP 1 Ship From : WI/SERV 017 HW2957 SEAL,SHAFT,DBL LIP, .625X.938X.188 2 Ship From : WI/SERV j 018 8805 0-RING,CLAMP PIVOT,2-011,EP 1 Ship From : WI/SERV 019 712926 O-RING,2-032 BUNA 1 j Ship From : WI/SERV 020 WS101 RACE&WORM GR,CLUTCH,SINGLE POINT I Ship From : WI/SERV 021 8800000 LABOR,ELECTRONIC PER HR. 2 Ship From : WI/SERV 022 WS136 GEARMOTOR,SL-MTI, F/ SPR+LAMPII 1 Ship From : WI/SERV USE WS135 F/ SPARE MOTOR ONLY 023 HANDLING HANDLING CHARGES 1 Ship From : WI/SERV Wednesday, September 18, 2019 Cues Page 2 Sales Order Packing List Sales Order Number : 000701657 Rev # 14 Cues, inc. Order Date Ship Location 3600 Rio Vista Avenue 6/9/2019 WI/SERV Orlando, FL 32805 (407) 849-0190 Customer P.O. # : VERBAL BRYAN Contact : JOE SCHAEFER Requested By : TJUNIOR/SPAWLAK Salesman : TRAVIS JUNIOR Hold Code : Bill To Customer # Ship To Customer # Phone Number 50643000 50643009 3199884205 Bill To Address Ship To Address MUNICIPAL PIPE TOOL CO. WATERLOO, CITY OF P.O. BOX 398 3505 EASTON AVE HUDSON, IA 50643 WATERLOO, IA 50702 Terms 01 Ship Via : 15 FOB 02 Ln Part-Number-------------- Description Qty Due Qty Shipd Unit Price Ext Price --- ----------------------------------- ------- --------- ---------- ----------- I i I i �I i i I I I i A City Clerk Use Only Finance Committee LC) 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 $ 5,802.58 _ plus ext. shipping cost of $ 0.00 to pay for or purchase A-B 50HP 480VAC VFD DRIVE FOR THICKENER BUILDING STORM DAMAGE This purchase or expenditure is being made because: EMERGENCY REPAIR DUE TO STORM DAMAGE Vendor selected for this purchase: VAN METER Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: VAN METER IS SOLE PROVIDER FOR REPLACEMENT REPAIR PARTS FOR VFD DRIVE Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ElGeneral Fund Road Use Tax: Fx Sewer' Sanitation: Bonds Federal/other grants F�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 $ Respectfully subrlitte (Signature Dept. ad r Designee) Date (Signature Finance Dept. Review) Date VII�IIIIIIIIIIIIIIIIIIIIIIIIIYIIIIIIIIIIIIIIIIII PICK TICKET ORDER DATE ORDER NUMBER VM 125 Courier Street VAN METER Waterloo, IA 50701-1289 09/12/19 5010853809 . 001 „E��u, Phone 319-235-9313 Fax 319-235-0365 PO NUMBER PAGE N0. �IIIIIIIIIIIII vfd 1 of z SOLD TO: SHIP TO: 16:59:09 12 SEP 2019 WATERLOO WASTE WATER WATERLOO WASTE WATER 3505 EASTON AVE 3505 EASTON AVE WATERLOO, IA 50702-2000 WATERLOO, IA 50702-2000 Phone 319-291-4553 ORDERED BY ORDER DATE SHIP DATE SHIP VIA FRT IN FRT OUT john 09/12/19 09/12/19 P02 PPPU WLOO 0 0 ER JOB NAME ACCOUNT NUMBER PRC BR SHP BR ;4! Davis 13674 2 10 LOCATION ORDER QTY SHIP QTY DESCRIPTION 043501I lea le A-B 20F11ND065JAONNNNN PF753 AC 4783 . 333 4783 . 33 DRIVE; 50HP; 480VAC; 3PH; 65AMPS; WITH EMBEDDED I/0; FRAME 4 ; (NOHI CM JUMPER INSTALLED Carton: C003885491 PCS1 Qty: 1 F022102 lea le A-B 20-750-NEMAl-F4 PF750 NEMA 1 140 . 430 140 .43 Carton: C003885491 PCS1 Qty: 1 F021303F lea le A-B 20-HIM-C6S POWERFLEX 298 . 980 298 . 98 ARCHITECTURE CLASS REMOTE ENHANCED HIM, IP66 (NEMA 4X/12) INDOOR USE ONLY Carton: 0003885491 PCS1 Qty: 1 SB07034B lea le A-B 20-750-2262C-2R PF750-24V DC 289 . 920 289 . 92 I/O WITH 2 ANALOG IN, 2 ANALOG OUT, DIGITAL IN, 2 RELAY OUT Carton: C003885491 PCS1 Qty: 1 SB02042 lea le A-B 20-750-2262D-2R PF750-115V AC 289 . 920 289 . 92 I/O WITH 2 ANALOG IN, 2 ANALOG OUT, DIGITAL IN, 2 RELAY OUT Carton: C003885491 PCS1 Qty: 1 all is in stock in cedar rapids Manifest Carton Quantities - - _ -._ . Reprint . . Reprint . . Reprint . . CONTINUED ON NEXT PAGE IIII�IIIIIIIII�IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII PICK TICKET VM 125 Courier Street ORDER DATE ORDER NUMBER VAN METER Waterloo, 1A 50701-1289 09/12/19 S010853809 . 001 �N�„�„��„Eo�o�„„. Phone 319-235-9313 Fax 319-235-0365 ' PO NUMBER PAGE N0. �II Illlul vfd 2 of 2 SOLD TO: SHIP TO: 16:59:09 12 SEP 2019 WATERLOO WASTE WATER WATERLOO WASTE WATER 3505 EASTON AVE 3505 EASTON AVE WATERLOO, IA 50702-2000 WATERLOO, IA 50702-2000 Phone 319-291-4553 ORDERED BY ORDER DATE SHIP DATE SHIP VIA FRT IN FRT OUT john 09/12/19 09/12/19 P02 PPPU WL00 0 0 WRITER JOB NAME ACCOUNT NUMBER PRC BR SHP BR Scott Davis 13674 2 10 LOCATION ORDER QTY SHIP OTY DESCRIPTION PCS PAL BNDL WIRE 2 Picker/Checker: Ship by: No. Pkg: Charges: Customer Signature: Date: Your signature accepts receipt of this product. Pleasc see your inside salesperson for return policy. Printed By: BREITBAR ** Reprint ** Reprint ** Reprint ** City Clerk Use Only — Finance Committee (0�7��� 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 $ 1.286.00 plus ext. shipping cost of $ 100.00 to pay for or purchase GREENLEE 1800 MECHANICAL CONDUIT BENDER This purchase or expenditure is being made because: CONDUIT BENDER NEEDED FOR ELECTRICAL DEPARTMENT Vendor selected for this purchase: VAN METER X]Bids or written quotes were taken on this purchase, as follows VAN METER-$1386.00 INCLUDES SHIPPING ELECTRICAL ENGINEERING -$1569.68 INCLUDES SHIPPING GRAINGER - $1636.76 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: ❑General Fund: FIRoad Use Tax: ❑X Sewer: Sanitation: Bonds: ❑Federal other grants: F-10ther(speclfy): This expenditure is to be coded to the following budget line-item: 5?0-14-5200-15?1 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 75.000.00 and the current.avait91ble balance is $ 5-�-1 �Re"p�ctfully sZubted, S ignature De ead Or Designee) Date (Sig ature Finance Dept. Review) Date --- -� - VAN METER Quotation DOTE DATE WTE NU�ER' 125 Courier Street 09/18/19 So10861878 Waterloo, IA 50701-1289RDER To' PAGE NO. 319-235-9313 Fax 319-235-0365 2)VAN METER INC. 25Ccurier Street 1711 V.'erloo,N 50701.1289 19-235-9313 Fax 319-235-0365 QUOTE TO'. SHIP TO. WATERLOO WASTE WATER WATERLOO WASTE WATER 3505 EASTON AVE 3505 EASTON AVE WATERLOO, IA 50702-2000 WATERLOO, IA 50702-2000 CUSTOMERNUMB,ER CUSTOMER ORDER NUMBER ORDERED BY `..SALESPERSON PRIC£BR SHP BR'.. 13674 Greenlee 1800 Kevin REITERS 2 2 "WRITER SNIP VIA 'TERMS .BID EXP DATE FREIGHT ALLOWED Mike Schneck WAT 3514 02CI5 CITY M-F NET 30 DAYS See Below No ORDERV DESCRIPTION UNIT PRICE EXTENSION 1eaIGREENLEE 1800 MECHANICAL BENDER 1286.854e 1286.85 Wire,conduit,and Solar modules quoted prices valid for 24 hours. Subtotals $1286.85 other items valid for 30 days and based on qtys supplied,unless otherwise specified.All items subject to To be approval by specifying party.Nonstock items are subject to restocking charges based on manufacturer's $S&H CHG$ terms and conditions.Freight charges or applicable tax not included.All pricing on sales quotes Determined and orders impacted by trade tariffs are subject to adjustment. Tax To be Determined For complete terms and conditions as well as EEO Compliance regulations please go to: ho-s-fNanmeterinc comkerms-of-sale Amount Due $1286.85 ELECTRICAL ENGINEERING& EQUIPMENT CO. (NOTE 183 WEST 9TH STREET WATERLOO, IA50702 (319)234-4000 FAX(319)234-9997 EIECIAICM FN NGEMIG www.3e-co.com TAKEN BY QUOTE DATE QUOTE NO. 6 EW II TCAN COSTA 281720 'kin 09/19/19 6565160-00 SHIP TO: WASTE MANAGEMENT SERVICES P.O.NO. PAGE# CITY OF WATERLOO I 3505 EASTON AVE PLACED BY ALLEN WATERLOO, IA 50702 CORRESPONDENCE TO: Electrical Engineering & Equipment Co. BILLTO WASTE MANAGEMENT SERVICES 953 rd St. CITY OF WATERLOO WINDSSOOR HEIGHTS. iA 50324 3505 EASTON AVE WATERLOO, IA 50702 INSTRUCTIONS REFERENCE CASH DISCOUNT: SHIP POINT SNIP VIA SHIPPED IF PAID BY: 3E WATERLOO WILL CALL LINE PRODUCT QUANTITY QUANTTY QTY. QTY. NET AMOUNT No. AND DESCRIPTION ORDERED BA. SHIPPED UA M PRICE (NET) J1 GRE 1800 1 1 E 1469.67 1469.67 1 IIN RATCHET BENDER a 1 Lines Total Qty Shipped Total 1 Total 1469.67 Invoice Total 1469.67 I Last Page THIS IS NOT AN OFFER TO CONTRACT,BUT MERELY A QUOTATION OF CURRENT PRICES FOR YOUR CONVENIENCE AND INFORMATION.ORDERS BASED ON THIS QUOTATION ARE SUBJECT TO YOUR ACCEPTANCE OF THE TERMS AND CONDITIONS LOCATED AT SALES.OUR-TERMS.COM,WHICH WE MAY CHANGE FROM TIME TO TIME WITHOUT PRIOR NOTICE.WE MAKE NO REPRESENTATION WITH RESPECT TO COMPLIANCE WITH JOB SPECIFICATIONS. 1 9/19/201 Benders GREENLEE Brand products-Grainger Industrial Supply Help us improve our Search Tools > Benders You searched for greenlee 1800 bender 1 product found in Benders with 1 filter applied. See more results for greenlee 1800 bender. Benders from Grainger can manipulate metal and plastic piping for a wide array of applications. An electrical conduit bender can bend electrical metallic tubing from 1/2 inch to 2 inches in diameter and is powered by a workhorse 120 VAC motor. A pipe bender uses up to 10,000 PSI hydraulic pressure to bend aluminum, brass and steel conduit pipe for those heavy-duty electrical wiring and heating installation projects. A PVC heater can warm and bend PVC piping evenly and efficiently. Look to Grainger as your single source for hand tools and accessories. Applied Filters Clear All Viewing as List Sort by Best Match Ne Brand © GREENLEE Mech Web Price 6 Conduit $1,536.76 /each i Search within result Filter Bender, 1/2-1 In Rigid A Previously Purchased Brand GREENLEE Item# 1 ATF2 Mfr. Model# 1800 View Previously Purchased Products A Branch Availability Note: Product availability is real-time basis and adjusted continuously.The product will be reserved for you when you complete your order.More O No products found in stock at your branch now. CEDAR RAPIDS Branch #112 - Info I Change A Brand R https://www.grainger.com/search?searchBar=true&searchQuery=greenlee+1800+bender 1/2 9/19/2019 Benders GREENLEE Brand products-Grainger Industrial Supply GREENLEE (1) Back to Top h https://www.grainger.rom/search?searchBar=true&searchOuery=greenlee+1800+bender 2/2 City Clerk Use Only E mmittee t /ate b/�`�� 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 $ 5,093.00 plus ext. shipping cost of $ 250.00 to pay for or purchase PISTA GRIT 250 GPM 2-Piece Ni-Hard Concentrator This purchase or expenditure is being made because: Replacement for part in Grit unit in Bldg 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: General Fund: EI Road Use Tax: IS Sewer Sanitation: F—IBonds: ❑Federal/other grants: F—]Other(specify): This expenditure is to be coded to the following budget line-item: Sin-14-5200-1571 (Fund - Department-Activity-Account Number) (Project Code) i in which budgeted amount is $ 400.000.00 ✓ and the current available balance is $ 28g4_74 fr o2t`�33 93 3� Respectfully submitted, W21 2 (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date AFTERMARKET Smith & Loveless, Inc. SALES AGREEMENT Date: September 24, 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@vessco.com Scope of Equipment: One(1) 250 GPM, 2-piece Ni-Hard PISTAO GRIT CONCENTRATORTM Price(includes freight): $5,093 -MORE- 14040 Santa Fe Trail Drive. Lenexa, KS 66215 P:913.888.5201 F: 913.748.0106 www.smithandloveless.com City Clerk Use Only Finance Committee t� ��/I� 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 $ 5,386.00 plus ext. shipping cost of $ 200.00 to pay for or purchase Replacement housing for primary sludge pump Bldg 205 This purchase or expenditure is being made because: Upgrades to sludge pumQto decrease rotary lobe costs in the future Vendor selected for this purchase: ZIMMER & FRANCESCON F_JBids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: Zimmer & Francescon is sole provider of replacement housing for current sludge pump. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund: Road Use Tax: FX Sewer: Sanitation: Bonds: Federal/other grants: F-]Other(specify): This expenditure is to be coded to the following budget line-item: 520-14-5200-1571 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 400,000.00 and the current available balance is $ 289-17 36 Respectfully submitted, ture Dept."Head Or Designee) Date (Signature Finance Dept. Review) Date Parts Quotation Zimmer & Francescon, Inc. 6200 65th Avenue QUOTATION# 190925AL Moline IL 61265 800-621-1118 TEL Date: 9/30/19 877-244-2508 FAX To: Waterloo WMS Attention: Jesse Gaherty Fax# email From: ANDREW LARSON Job Description: Parts for Vogelsang VX136-1400D BJC71180141 QUANTITY UNIT DESCRIPTION PRICE TOTAL 1 ea Housing Segment dynamic injection 1 11.000326 3,252 00 3,252.00 includes the followm 2 TC coated housing se ments 4 Gasket, housing se ement 2 ea I Gasket. ada ter flan2e to pumpDFD 005.P 23.00 46.00 1 ea IVVear Plate Kit. TC coated 11 000493 2.038.00 2,038.00 includes the followin 2 JVVear Plate VX136 TC coated 4 Hexa on Head Bolt 1 ea Shipping& Handling 50.00 50.00 Delivery is 2-3 WEEKS ARO Materials Total 1 5,386,00 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 Street Department to expend $ 12,164.75 plus est. shipping costs of $ 400.00 to pay for or purchase QuadGuard Backup Assembly and End Shoes to replace damaged guardrail on Broadway curve This purchase or expenditure is being made because: Guardrail damaged beyond repair due to hit and run crash Vendor selected for this purchase: JTI ❑X Bids or written quotes were taken on this purchase, as follows: John Thomas Inc (JTI) Dixon IL $12,164.75 Gulf Material Sales LLC Covington LA $13,377.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer [_-] Sanitation ❑ Bonds EI Federal/other grants F-] Other(specify) This expenditure is to be coded to the following budget line-item: ,;3 /Q--7100 -./370 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 16-000 r and the current available balance is $ /So'lO Respectfully submitted, (Signature Dept. ad or Designee) ate (Signature Finance Dept. Review) Date K:\shared good ies\forms\201 9-September-Pre-Auth-Guard Rail-JTI-Street- $12,164.75.xls(Mar 2010) City Clerk Use Only Finance Committee 1 0/ Approval Date 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 Traffic Operations Department to expend $ 1,855.60 plus est. shipping costs of $ 200.00 to pay for or purchase Various sizes of aluminum signs blanks. This purchase or expenditure is being made because: To be used for fabricating signs Vendor selected for this purchase: Hall Signs OX Bids or written quotes were taken on this purchase, as follows: Hall Signs Bloominigton IN $1,855.60 Iowa Prison Industries Anamosa, IA $2,555.30 Custom Products Corp Jackson MS $2,572.79 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 F1 Sewer F—I Sanitation FBonds F—I Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 41 rn-17-7120-2106/2125 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 10,000.00 / y� ✓ and the current available balance is $ -Z_'4e9-G6 9190f! Respectfully submitted, otu ALL lo/)k7 wj,,� (Signature Dept. H ad or Designee) ate (Signature Finance Dept. Review) Date K:lshared good ies\forms\2019-October-Pre-Auth-Aluminum Sign Blanks-Hall Signs-Traffic- $1,855.60+200.00 shipping.xls(Mar 2010) City Clerk Use Only Finance Committee )[j Approval Date_���1 City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Operations Department to expend $ 5,286.27 plus est. shipping costs of $ to pay for or purchase 2 rolls each of 30" X 50 Yds and 24" X 50 Yds of DG#white sheeting, 1 roll of 30" X 50 Yds of EC- Clear Film, 2 rolls of 24" X 50 Yds of EC- Clear Film This purchase or expenditure is being made because: To be used for fabricating signs. Vendor selected for this purchase: Newman Signs QX Bids or written quotes were taken on this purchase, as follows: Newman Signs Jamestown ND $5,286.27 Custom Products Corp. Jackson MS $5,586.69 Hall Signs Bloomington, IN $6,122.15 ❑ 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 EI Sanitation QX Bonds ❑ Federal/other grants F Other(specify) This expenditure is to be coded to the following budget line-item: 417-14-7120-2106/2125 & 418-17-7120-2106/2125 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 10,000.00 20,000.00 and the current available balance is $ Gg . 6 20,000.00 Respectfully submitted, (Signature Dept. Hckd or Designee) 'Date (Signature Finance Dept. Review) Date KAshared good ies\forms\2019-October-Pre-Auth-white Sheeting&Clear Film-Newman Signs-Traffic- $5,286.27.xis(Mar 2010) CITY OF WATERLOO , IOWA PUBLIC WORKS DIVISION 625 Glenwood Street • Waterloo, IA 50703 Street:(319)291-4267 Fax(319)291-0264 Sanitation: (319)291-4455 • Central Garage: (319)291-4445 Fax(319)291-3825 Traffic Operations—(319)291-4440 Fax: (319)291-4094 Animal Control(319)291-4440#4 Randy Bennett— Public Works Manager Mayor QUENTIN HART TO: Finance Committee COUNCIL FROM: Randy Bennett K� MEMBERS Public Works Manager ................... DATE: October 1, 2019 MARGARET KLEIN RE: Equipment Disposal Ward BRUCE JACOBS Request authorization to dispose of retired equipment from Central Garage (Fleet Ward Maintenance) Department a listed below: PATRICK MORRISSEY 1. 2014 Ford Taurus Ward 2. 1997 F Super Duty Truck 3. 2005 American Road Leaf Chipper JEROME 4. 1998 Freightliner Ambulance AMOS,JR. 5. 2004 Ford Taurus Ward 4 6. 1999 Ford F250 Truck RAY 7. Misc. Equipment FUESS Wards A more detailed list is attached. SHARON JUON At-Large STEVE SCHMITT At-Large WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer m 0 N Ul N Q1 H D O Z O V) Z Q Q1 i- t1 L n cn n > N w w w rx: > > > ❑ V ❑ ❑ ❑ ❑ w LU Q O ❑ ❑ m o = Ln Q Q W Q JL. v) v1 cn z v> Z Z Z C9 Z L/ C cC w U 2 L 'O NO Z m owo ci O Ln H O N Z ci ci N r� W Q1 ZH Ln w a OD LU Cr w `n > cy)Ln ❑ d H ~ Ln< � - U op n W Z CN w co rn Q 0 w 1° V) ro O p o 0 Z U .mi w tom w `� � r Q m Q J K Q �_ � 0 Ol N N ~ � LL Lr) c-I f- Z O n J a U rn O N cN Ol 111 LU W W G = Q W j Y LL X m N J r, v m o LL J mLn N LL -j N W Z L.L a CY, Q p LL � Q H H U H w a- N LU W cu � w O F F w w Z ❑ LL U ❑ a Z cc: = a w u D LL co a wLU Q a U- a a p D o a z z J Q O u _ 0 ❑ p K LLJC7 ❑ ❑ p cc 0 Oroo o F- 0 o Q W W LL a L dt n Ln W C}' Ol r a � rn O rn o rn v o m o m o rn N r-7 N c-1 N r-I 01 Budget Amendment Descriptions for 10/7/2019 Finance Committee Meeting Agenda: 1. Approve the project budget for the Riverside Skate Park Project funded with $100,000 from the Otto Schoitz Foundation, $150,000 from the Black Hawk County Gaming Association, $2,000 in other donations and $150,000 in city bond funds,to be used for the construction of a new skate park, as submitted by Leisure Services. 2. Approve the project budget for the FY19 Bureau of Justice Assistance grant for the Tri-County Drug Task Force, with federal funds of$35,355.20 for the Waterloo Police Department and $23,641.80 for other participating agencies, as submitted by the Police Department. 3. Approve the project budget for the Highway Safety Tax Grant, funded with federal funds of$59,500 to be used for traffic safety enforcement activities, as submitted by the Police Department. 4. Approve the project budget amendment for the Bullet Proof Vests grant,funded with $7,661.71 in federal funds to be used to purchase bullet proof vests, as submitted by the Police Department. 5. Approve the project budget amendment for the Organized Crime Drug Enforcement Task Force, funded with federal funds in the amount of$2,700, as 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. CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee / Approval Date q l( \ Project Name (from page one) FY2020 Riverside Skate Park Project 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. 311P r Subproject No. (Each column should only include amounts by fund) Fund: _418 Fund: Fund: 419_ Fund: _?_ Total REVENUES: 426-37-4105 426-37-4105 418-37-4202-2178 4/�&-37-4105 Otto Schoitz BK Gaming 419-37-4202-2178 Skate Group 3000 Cash on Hand $ - 3112 Local Option Sales Tax - 3350 Federal Grant 3357 Shared Program -County 3358 Shared Program -City 3360 Shared Program - State - 3361 State Grant - 3365 State RISE Grant 3368 EPA Grant 3377 EDA Grant - 3720 Donations - Restricted 100,000.00 150,000.00 2,000.00 252,000.00 3750 Sale of Bonds 150,000.00 150,000.00 TOTALS $ 100,000.00 $ 150,000.00 $ 150,000.00 $ 2,000.00 $ 402,000.00 EXPENDITURES: 2103 Engineering &Consulting $ 25,000.00 $ 25,000.00 2125 Traffic Control Equipment - 2140 Land Acquisition - 2144 Land Improvements 2146 Demolitions - 2151 Building Construction 2156 Bikeway Construction - 2162 Storm Sewers 2163 Sanitary Sewers 2164 Sidewalks - 2165 Streets& Roadways 2199 Non-participating Misc - 2168 Park Improvements 75,000.00 150,000.00 150,000.00 2,000.00 377,000.00 TOTALS $ 100,000.00 $ 150,000.00 $ 150,000.00 $ 2,000.00 $ 402,000.00 (Signature Dept. Head Date (Sig ature Finance Dept. Review) Date K:\shared goodies\forms\Project Budget Worksheet Riverside Skate Park.xls\Page 2(Constr Proj) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY2020 Riverside Skate Park Project City Contract No. 1001 To be assigned by the Finance Dept. Project Manager Travis Nichols Project No. Project Budget Total $ 402,000.00 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 ❑ No ❑ % Paid by state grant Grant Name Grant Agreement Number C. City Match Source of Funding GO Bond Funds % Paid by City 37.00% D. Other Entities Yes = No ❑ % Paid by other entity 63.00% Name BH Gaming, Otto Schoitz Foundation, Skate Group 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? ❑ ❑ 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 ❑ ❑x B. Publication, or printing costs ❑ 0 C. Others, list ❑ ❑x 5. Does this project cover any regular full-time salaries or benefits? ❑ If yes, employee/position to be covered. 6. include a brief description of the project in the space below: (REQUIRED) This project will cover the construction of 8000 square feet skate Park to be located at Straub Memorial Fields park located in Waterloo Iowa. This skate park will replace the current Riverside Skate Park located in Exchange Park that was detroyed in the 2016 floods. Funding will come from Black Hawk Gaming Association $150,000 Otto Schoitz Foundation $150,000 Donation from Skating Group $ 2,000 City Bond money $150,000 Page 2 must be attached and signed. K:lshared goodies\forms\Project Budget Worksheet Riverside Skate Park.xls\Page 1 All Projects (Mar 2010) Follow Up - Grant Lifecycle Manager Page 1 of 4 70 S&qv(T-7, Fd61-"12-�Oj Select Language Follow Up Waterloo Skatepark Project Process: 2019 Spring Grant Contact Info Request Award Details Documents 1 Applicant: 41 Mr. Mark Joseph Gallagher mark.gallagher@waterloo-ia.org 319-291-0165 300 Jefferson Waterloo, IA 50701 United States Contact Email History Organization: @ City of Waterloo/Leisure Services 42-6005327 319-291-0165 300 Jefferson Waterloo, IA 50701 United States If your organization information does not appear correct, please contact the funder. Thank you. LOI Application Follow Up FollowUp Packet ® Question List i Fields with an asterisk (`} are required. Terms & Conditions Project Title` Name of Project Waterloo Skatepark Project Amount Awarded $ 100,000.00 https://www.grantinterface.com/Request/Submission/FollowUp?request=3 996192&submiss... 9/5/2019 Follow Up - Grant Lifecycle Manager Fage ` oi'4 THIS AGREEMENT DETAILS THE RESPONSIBILITIES OF THE OTTO SCHOITZ FOUNDATION AND YOUR ORGANIZATION (GRANTEE), AND THE TERMS AND CONDITIONS OF THE GRANT. Use of Funds* The grant is to be used solely for the project as described in Grantee's proposal, including the time frame identified in the proposal. Projects must be started and completed on time and completed as presented. Any monies received under this agreement should be expended for no other purposes. Any funds not used for the specific purpose of the grant must be returned to the 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, or carry on, directly or indirectly, any voter registration drive. ;.` I Agree To The Above Non-competition with Mercy Health Network* The grant is not to be used in any manner that competes, or could reasonably be determined to 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. •; I Agree To The Above Non-Profit Status* 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 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 for the specific purposes. In the event that Grantee loses its tax exempt status before all funds under this grant are dispensed, this grant contract will be considered null and void and all obligations of the Otto Schoitz Foundation hereunder will terminate. j I Agree To The Above https://www.grantinterface.com/Request/Submission/FollowUp?request=3996192&submiss... 9/5/2019 Follow Up-Grant Lifecycle Manager Page 3 of 4 It, N/A, Grantee is a governmental unit Regulatory Compliance Cooperation* 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. ) 1 Agree To The Above Reimbursable Grant* 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. * I Agree To The Above Grant Reporting* 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 instructions for filing the report prior to the report due date. • I Agree To The Above Recognition* The Otto Schoitz Foundation desires that all resources of Grantee be dedicated to accomplishing its philanthropic purposes. Accordingly, Grantee agrees not to recognize the Foundation, its board members or staff, or this grant with certificates, plaques, or similar 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 Foundation off its generic marketing lists, including, but not limited to donor appeals. At its sole discretion, the Otto Schoitz Foundation may provide a news release summarizing the grant to television, newspaper and other media. Further, the Otto Schoitz Foundation may include related information of the grant in the Foundation's annual report. I Agree To The Above https://www.grantinterface.com/Request/Submission/FollowUp?request=3996192&submiss... 9/5/2019 Follow Up-Grant Lifecycle Manager Page 4 of 4 Acceptance of Terms & Conditions* This grant is conditional upon Grantee's acceptance of the terms and conditions set forth herein. By selecting the "I Accept Grant Terms and Conditions" below Grantee agrees to accept and comply with the stated terms and conditions of this grant. s; I Accept Grant Terms and Conditions I Decline Grant Terms and Conditions Please note: by entering your information and selecting "I agree", you are: 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. Confirmation* s I agree Name and Title of Individual Entering Agreement* Paul Huting, Leisure Services Director https://wwwv.grantinterface.com/Request/Submi s sion/F ollowUp?request=3996192&submiss... 9/5/2019 Follow Up-Grant Lifecycle Manager Page 1 of 4 3li�h (—�Yl-ul C �i✓�✓rt i�l C ®l 0 ow p Public Profile Waterloo Skatepark Project Process: Spring 2019 i Contact Info Request $ Award Details Applicant: Bob Etringer bob.etringer@waterloo-ia.org 1101 Campbell Waterloo, IA 50701 Black Hawk Contact Email History Organization: Waterloo Leisure Services I 42-6005327 319-291-4370 1101 Campbell Waterloo, lA 50701 Black Hawk ® If your organization information does not appear correct, please contact the funder. Thank you. LOI ; Application �� Follow Up FollowUp Packet ® Question List Due on 09/03/2019 12:00 AM GDT. 1 Q Fields with an asterisk(*)are required. v Question Group i; Ci Project Title* Waterloo Skatepark Project Amount Awarded " 150,000.00 https://www.grantinterface.cem/Request/Submission/FollowUp?request=4263 000&submis... 8/23/2019 Follow Up-Grant Lifecycle Manager Page 2 of 4 f t Total Project Budget $ 350,000.00 Upon acceptance of this grant the grantee agrees to the following: GENERAL PROVISIONS* Funds granted by the Black Hawk County Gaming Association shall be used by the grantee within 12 months of the official public announcement, unless otherwise specified or agreed to at the time of the grant award, or by subsequent action of the Black Hawk County Gaming Association. Projects must be started and completed on time and completed as presented. Failure to do so may be cause for the Board to suspend future payments and demand refund of payments rendered. A request for an extension must be submitted to the Black Hawk County Gaming Association in writing prior to the expiration date specifying valid reasons. 0. I agree to the above I USE OF FUNDS` This award is to be used exclusively for the purposes specified in the grant which may represent all or any of the projects(s) specified in the grant application. It is further agreed that should the grant project be altered subseguent to the award including but not limited to content, description total proiect cost or percentage the award amount represents of the total cost the grantee shall promptly notify the Black Hawk County Gaming Association The Board may change the award amount depending upon the circumstances presented. Q I agree to the above GRANTEE ACKNOWLEDGEMENT* The Grantee will acknowledge the contribution of Black Hawk County Gaming Association to the program or project wherever and whenever appropriate. This will include, but not be limited to news releases, construction signage, plaques for project sites, decals, brochure or programs, eta (For example: This program project made possible by funds contributed by the Black Hawk County Gaming Association). Please submit copies of these acknowledgements to the Black Hawk County Gaming Association—for more information please refer to the Publicity Guide I agree to the above TAX STATUS* The grantee shall be a public entity or 501c3 tax exempt entity at the time of the award. I agree to the above litips://www.grantinterface.com/Request/Submi ssion/FollowtJp?request=4263 000&submis... 8/23/2019 Follow Up- Grant Lifecycle Manager Page 3 of 4 E 0 PAYMENT OF GRANT AWARD* I To receive payment, documentation of the expenditure of the funds, acceptable to Black Hawk County Gaming Association must be submitted. If the grant is for capital or other purchased services, invoices or signed accepted bids/contracts, acceptable to Black Hawk County Gaming Association must be submitted to obtain payment. If the grant covers consultant and or/contracted services, submit a statement, acceptable to Black Hawk County Gaming Association, verifying that the services were provided and itemize the expense incurred. The billing must be signed by an authorized agent of the organization and contain the grant number listed above. C®) I agree to the above SPECIAL CONDITIONS Billing must be submitted to Black Hawk County Gaming Association within 60 days of the completion of the 12 month grant period or sooner if the grant funds have been spent. Please send requests for payment which must include vendor invoice(s) or contract(s) signed by both parties to: F 425 Cedar Street, Suite 300A I Waterloo, IA 50701 a 1, none i -[ I I I a, 996 characters left of 1,000 Special Conditions Agreement* The above special conditions are required in order to receive payment and shall become part of k this agreement. U I have read and agree to the above special conditions GRANTEE ELECTRONIC SIGNATURE* Mayor Quentin Hart GRANTEE SIGNATURE DATE* 09/03/2019 t D�on /03/201912:00 A�CDT. Save Follow Up Submit Follow Up littpsJ/www.grantiuterface.com/Request/Submission/Foll ow[Jp?request=4263000&submis._. 8/23/2019 CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee (0/-7/ Approval Date Project Name (from page one) FY19 Bureau of Justice Assistance (JAG) 2019-DJ-BX-0640 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. 11GRT 01011 1160 Subproject No. JAG15 (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 35,355.20 23,641.80 58,997.00 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 - TOTALS $ 35,355.20 $ 23,641.80 $ $ $ 58,997.00 EXPENDITURES: 1111 Salaries- Regular $ 16,677.50 $ 16,677.50 1112 Salaries- Part Time - 1121 FICA 11221PERS - 1123 Disability - 1131 Health - 1114 Overtime 13,965.00 13,965.00 1130 Employee Benefits 4,712.70 4,712.70 1302 Outside Agencies 23,641.80 23,641.80 TOTALS $ 35,355.20 $ 23,641.80 $ - $ - $ 58,997.00 q �� 1 Q `Glib��.D(.c �/� 9 30-4 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\cs Project Budget Worksheets 15\JAG19 2nd pg(2) (Mar 2010) PROJECT BUDGET WORKSHEET -ALL PROJECTS PAGE ONE Project Name FY19 Bureau of Justice Assistance(JAG) City Contract No. To be assigned by the Finance Dept. Project Manager Captain Dave Mohlis Project No. 11GRT Project Budget Total $ 58,997.00 Subproject No. JAG15 1. How will this project be funded? A. Federal Grant Yes ❑X No ❑ CFDA# 16.738 % Paid by federal grant 100.00% Grant Name FY19 Bureau of Justice Assistance (JAG) Grant Agreement Number 2019-DJ-BX-0640 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 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? ❑ 0 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? ❑ 0 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees ❑ B. Publication, or printing costs ❑ C. Others, list ❑ 5. Does this project cover any regular full-time salaries or benefits? ❑X ❑ 6. Include a brief description of the project in the space below: (REQUIRED) Funds allocated by the 2019 Justice Assistance Grant will be used in a joint effort by the City of Waterloo, City of Cedar Falls and Black Hawk County for law enforcement personnel costs for officers assigned to the Tri-County Drug Enforcement Task Force which is a multi-jurisdictional task force responsible for investigation of drug related crime. The funds will be used to supplement salary/benefits &overtime not funded through the Byrne Justice Assistance Grant. Page 2 must be attached and signed. K:\shared goodies\forms\cs Project Budget Worksheets 15\JAG19 (Mar 2010) U.S.Department of Justice fl9 Office of Justice Programs Office of the Assistant Attorney General Washington,D.C. 20531 September 23,2019 The Honorable Quentin Hart Waterloo City 715 Mulberry Street Waterloo,IA 507035783 Dear Mayor Hart: On behalf of Attorney General William P.Bare,it is my pleasure to inform you that the Office of Justice Programs has approved your application for funding under the FY 19 Edward Byrne Memorial Justice Assistance Grant(JAG)Program- Local Solicitation in the amount of$58,997 for Waterloo City. Enclosed you will find the Grant Award and Special Conditions documents. This award is subject to all administrative and financial requirements,including the timely submission of all financial and programmatic reports,resolution of all interim audit findings,and the maintenance of a minimum level of cash-on-hand. Should you not adhere to these requirements,you will be in violation of the terms of this agreement and the award will be subject to termination for cause or other administrative action as appropriate. If you have questions regarding this award,please contact: - Program Questions,Antonio Tovar,Program Manager at(202)598-7424;and - Financial Questions,the Office of the Chief Financial Officer,Customer Service Center(CSC)at (800)458-0786,or you may contact the CSC at ask.ocfo@usdoj.gov. Congratulations,and we look forward to working with you. Sincerely, Katharine T.Sullivan Principal Deputy Assistant Attorney General Enclosures U.S.Department of Justice Office of Justice Programs Office of Civil Rights Washington,DC 20531 September 23,2019 The Honorable Quentin Hart Waterloo City 715 Mulberry Street Waterloo,IA 50703-5783 Dear Mayor Hart Congratulations on your recent award! The Office for Civil Rights(OCR),Office of Justice Programs(OJP),U.S.Department of Justice(DOJ)has been delegated the responsibility for ensuring that recipients of federal financial assistance from the OJP,the Office of Community Oriented Policing Services(COPS),and the Office on Violence Against Women(OV W)are not engaged in discrimination prohibited by law. Several federal civil rights laws,such as Title VI of the Civil Rights Act of 1964 and Title D{of the Education Amendments of 1972,require recipients of federal financial assistance to give assurances that they will comply with those laws. In addition to those civil rights laws,many grant program statutes contain nondiscrimination provisions that require compliance with them as a condition of receiving federal financial assistance. For a complete review of these civil rights laws and nondiscrimination requirements,in connection with OJP and other DOJ awards,see https://ojp.gov/funding/Explore/LegalOverview/CivilRightsRequirements.hbn Under the delegation of authority,the OCR investigates allegations of discrimination against recipients from individuals,entities,or groups. In addition,the OCR conducts limited compliance reviews and audits based on regulatory criteria. These reviews and audits permit the OCR to evaluate whether recipients of financial assistance from the Department are providing services in a non- discriminatory manner to their service population or have employment practices that meet equal-opportunity standards. If you are a recipient of grant awards under the Omnibus Crime Control and Safe Streets Act or the Juvenile Justice and Delinquency Prevention Act and your agency is part of a criminal justice system,there are two additional obligations that may apply in connection with the awards: (1)complying with the regulation relating to Equal Employment Opportunity Programs(EEOPs);and(2) submitting findings of discrimination to OCR For additional information regarding the ESOP requirement,see 28 CFR Part 42, subpart E,and for additional information regarding requirements when there is an adverse finding,see 28 C.F.R.§§42.204(c), .205(c)(5). Please submit information about any adverse finding to the OCR at the above address. We at the OCR are available to help you and your organization meet the civil rights requirements that are associated with OJP and other DOJ grant funding. If you would like the OCR to assist you in fulfilling your organization's civil rights or nondiscrimination responsibilities as a recipient of federal financial assistance,please do not hesitate to let us know. Sincerely, Michael L.Alston Director cc: Grant Manager Financial Analyst i U.S.Department of Justice Office of Justice Programs J•. PAGE I OF 29 Bureau of Justice Assistance Grant 1.RECIPIENT NAME AND ADDRESS(Including Zip Code) 4.AWARD NUMBER: 2019-DJ-BX-0640 Waterloo City 715 Mulberry Street 5.PROJECT PERIOD:FROM 10/01/2018 TO 09/30/2022 Waterloo,IA 50703-5783 BUDGET PERIOD:FROM 10/01/1018 TO 09/302022 6.AWARD DATE 09232019 7.ACTION 2a.GRANTEE IRS/VENDOR NO. S.SUPPLEMENT NUMBER Initial 426005329 00 2b.GRANTEE DUNS NO. 075841684 9.PREVIOUS AWARD AMOUNT $0 3.PROJECT TITLE 10.AMOUNT OF THIS AWARD $58,997 FY 19 JAG Program 11.TOTAL AWARD $58,997 12.SPECIAL CONDITIONS THE ABOVE GRANT PROJECT IS APPROVED SUBJECT TO SUCH CONDITIONS OR LIMITATIONS AS ARE SET FORTH ON THE ATTACHED PAGE(S). D.STATUTORY AUTHORITY FOR GRANT This project is supported under FY19(BJA-JAG State and JAG Local)Title 1 of Pub.L.No.90-351(generally codified at 34 U.S.C.10151-10726),including subpart t of part E(codified at 34 U.S.C.10151-10158);we also 28 U.S.C.530C(a). 14.CATALOG OF DOMESTIC FEDERAL ASSISTANCE(CFDA Number) 16.738-Edward Byrne Memorial Justice Assistance Grant Program i 15.METHOD OF PAYMENT GPRS AGENCY APPROVAL GRANTEE ACCEPTANCE 16.TYPED NAME AND TIRE OF APPROVING OFFICIAL 18.TYPED NAME AND TITLE OF AUTHORIZED GRANTEE OFFICIAL Katharine T.Sullivan Quentin Hart Principal Deputy Assistant Attorney General Mayor 17,SIGNATURE OF APPROVING OFFICIAL 19.SIGNATURE OF AUTHORIZED RRIIIZED RECIPIENT OFFICIAL 19A.DATE j AGENCY USE ONLY 20.ACCOUNTING CLASSIFICATION CODES21. UDJUGT1269 FISCAL FUND BUD. DIV. YEAR CODE ACT. DEC. REG. SUB. PDMS AMOUNT X B Dl 80 00 00 58997 OJP FORM 40002(REV.5-87)PREVIOUS EDITIONS ARE OBSOLETE. OJP FORM 400012(REV.4-88) U.S.Department of Justice _ Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PACE 2 of 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/232019 SPECIAL CONDITIONS 1. Requirements of the award,remedies for non-compliance or for materially false statements The conditions of this award are material requirements of the award. Compliance with any assurances or certifications submitted by or on behalf of the recipient that relate to conduct during the period of performance also is a material requirement of this award. By signing and accepting this award on behalf of the recipient,the authorized recipient official accepts all material requirements of the award,and specifically adopts all such assurances or certifications as if personally executed by the authorized recipient official. Failure to comply with any one or more of these award requirements--whether a condition set out in full below,a condition incorporated by reference below,or an assurance or certification related to conduct during the award period- -may result in the Office of Justice Programs("OJP")taking appropriate action with respect to the recipient and the award. Among other things,the ON may withhold award funds,disallow costs,or suspend or terminate the award. The U.S.Department of Justice("DOJ"),including OJP,also may take other legal action as appropriate. Any materially false,fictitious,or fraudulent statement to the federal government related to this award(or concealment or omission of a material fact)may be the subject of criminal prosecution(including under 18 U.S.C. 1001 and/or 1621, and/or 34 U.S.C.10271-10273),and also may lead to imposition of civil penalties and administrative remedies for false claims or otherwise(including under 31 U.S.C.3729-3730 and 3801-3812). Should any provision of a requirement of this award be held to be invalid or unenforceable by its terms,that provision shall first be applied with a limited construction so as to give it the maximum effect permitted by law. Should it be held,instead,that the provision is utterly invalid or-unenforceable,such provision shall be deemed severable from this award. 2. Applicability of Part 200 Uniform Requirements The Uniform Administrative Requirements,Cost Principles,and Audit Requirements in 2 C.F.R.Part 200,as adopted and supplemented by DOJ in 2 C.F.R.Part 2800(together,the'Tart 200 Uniform Requirements")apply to this FY 2019 award from OJP. The Part 200 Uniform Requirements were first adopted by DOJ on December 26,2014. If this FY 2019 award supplements funds previously awarded by OJP under the same award number(e.g.,funds awarded during or before December 2014),the Part 200 Uniform Requirements apply with respect to all funds under that award number (regardless of the award date,and regardless of whether derived from the initial award or a supplemental award)that are obligated on or after the acceptance date of this FY 2019 award. For more information and resources on the Part 200 Uniform Requirements as they relate to ON awards and subawards ("subgrants"),see the OJP website at https://ojp.gov/funding/Part2OOUniformRequirements.htm. Record retention and access: Records pertinent to the award that the recipient(and any subrecipient("subgrantee")at any tier)must retain--typically for a period of 3 years from the date of submission of the final expenditure report(SF 425),unless a different retention period applies--and to which the recipient(and any subrecipient("subgrantee")at any tier)must provide access,include performance measurement information,in addition to the financial records, supporting documents,statistical records,and other pertinent records indicated at 2 C.F.R.200.333. In the event that an award-related question arises from documents or other materials prepared or distributed by OJP that may appear to conflict with,or differ in some way from,the provisions of the Part 200 Uniform Requirements,the recipient is to contact OJP promptly for clarification. Q� OJP FORM 4000/2(REV.4-88) t I i U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PAGE 3 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/232019 SPECIAL CONDITIONS 3. Compliance with DOJ Grants Financial Guide References to the DOJ Grants Financial Guide are to the DOJ Grants Financial Guide as posted on the OJP website (currently,the"DOJ Grants Financial Guide"available at https://ojp.gov/financiaiguide/DOJ/index.htin),including any updated version that maybe posted during the period of performance. The recipient agrees to comply with the DOJ Grants Financial Guide. 4. Reclassification of various statutory provisions to a new Title 34 of the United States Code On September 1,2017,various statutory provisions previously codified elsewhere in the U.S.Code were editorially reclassified(that is,moved and renumbered)to a new Title 34,entitled"Crime Control and Law Enforcement."The reclassification encompassed a number of statutory provisions pertinent to ON awards(that is,OJP grants and cooperative agreements),including many provisions previously codified in Title 42 of the U.S.Code. Effective as of September 1,2017,any reference in this award document to a statutory provision that has been reclassified to the new Title 34 of the U.S.Code is to be read as a reference to that statutory provision as reclassified to Title 34.This rule of construction specifically includes references set out in award conditions,references set out in material incorporated by reference through award conditions,and references set out in other award requirements. S. Required training for Point of Contact and all Financial Points of Contact Both the Point of Contact(POC)and all Financial Points of Contact(FPOCs)for this award must have successfully completed an"OJP financial management and grant administration training"by 120 days after the date of the recipient's acceptance of the award. Successful completion of such a training on or after January 1,2017,will satisfy this condition. In the event that either the POC or an FPOC for this award changes during the period of performance,the new POC or FPOC must have successfully completed an"OJP financial management and grant administration training"by 120 calendar days after--(1)the date of OJP's approval of the"Change Grantee Contact"GAN(in the case of a new POC),or(2)the date the POC enters information on the new FPOC in GMS(in the case of a new FPOC). Successful completion of such a training on or after January 1,2017,will satisfy this condition. A list of OJP tminings that OR will consider"OJP financial management and grant administration training"for purposes of this condition is available at https://www.ojp.gov/training/fmts.htn All trainings that satisfy this condition include a session on grant fraud prevention and detection The recipient should anticipate that OJP will immediately withhold("freeze")award funds if the recipient fails to comply with this condition. The recipient's failure to comply also may lead OJP to impose additional appropriate conditions on this award. 6. Requirements related to Me minimis"indirect cost rate A recipient that is eligible under the Part 200 Uniform Requirements and other applicable law to use the Me minimis" indirect cost rate described in 2 C.F.R.200.414(f),and that elects to use the"de minimis"indirect cost rate,must advise OR in writing of both its eligibility and its election,and must comply with all associated requirements in the Part 200 Uniform Requirements. The Me minimis"rate may be applied only to modified total direct costs(MTDC)as defined by the Part 200 Uniform Requirements. OJP FORM 40002(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PACE 4 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/232019 SPECLIL CONDITIONS 7. Requirement to report potentially duplicative funding If the recipient currently has other active awards of federal funds,or if the recipient receives any other award of federal funds during the period of performance for this award,the recipient promptly must determine whether funds from any of those other federal awards have been,are being,or are to be used(in whole or in part)for one or more of the identical cost items for which funds are provided under this award. If so,the recipient must promptly notify the DOJ awarding agency(OJP or OV W,as appropriate)in writing of the potential duplication,and,if so requested by the DOJ awarding agency,must seek a budget-modification or change-of-project-scope grant adjustment notice(GAN )to eliminate any inappropriate duplication of funding. 8. Requirements related to System for Award Management and Universal Identifier Requirements The recipient must comply with applicable requirements regarding the System for Award Management(SAM), currently accessible at haps://www.sam.gov/. This includes applicable requirements regarding registration with SAM, as well as maintaining the currency of information in SAM. The recipient also must comply with applicable restrictions on subawards("subgrants")to first-tier subrecipients (fust-tier"subgrantees"),including restrictions on subawards to entities that do not acquire and provide(to the recipient)the unique entity identifier required for SAM registration. The details of the recipient's obligations related to SAM and to unique entity identifiers are posted on the OJP web site at httpsJ/ojp.gov/funding/Explore/SAM.htm(Award condition: System for Award Management(SAM)and Universal Identifier Requirements),and are incorporated by reference here. This condition does not apply to an award to an individual who received the award as a natural person(i.e.,unrelated to any business or non-profit organization that he or she may own or operate in his or her name). OR FORM 400012(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION 0 Bureau of Justice Assistance SHEET PACE s of 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/23@019 SPECIAL CONDITIONS 9. Employment eligibility verification for hiring under the award 1.The recipient(and any subrecipient at any tier)must-- A.Ensure that,as part of the hiring process for any position within the United States that is or will be funded(in whole or in part)with award funds,the recipient(or any subrecipient)properly verifies the employment eligibility of the individual who is being hired,consistent with the provisions of 8 U.S.C.1324a(a)(1)and(2). B.Notify all persons associated with the recipient(or any subrecipient)who are or will be involved in activities under this award ofboth-- (1)this award requirement for verification of employment eligibility,and (2)the associated provisions in 8 U.S.C.1324a(a)(1)and(2)that,generally speaking,make it unlawful,in the United States,to hire(or recruit for employment)certain aliens. C.Provide training(to the extent necessary)to those persons required by this condition to be notified of the award requirement for employment eligibility verification and of the associated provisions of 8 U.S.C.1324a(axl)and(2). D.As part of the recordkeeping for the award(including pursuant to the Part 200 Uniform Requirements),maintain records of all employment eligibility verifications pertinent to compliance with this award condition in accordance with Form I-9 record retention requirements,as well as records of all pertinent notifications and trainings. 2.Monitoring The recipients monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions designed to ensure compliance with this condition. 4.Rules of construction A.Staff involved in the hiring process For purposes of this condition,persons"who are or will be involved in activities under this award"specifically includes (without limitation)any and all recipient(or any subrecipient)officials or other staff who are or will be involved in the hiring process with respect to a position that is or will be funded(in whole or in part)with award funds. B.Employment eligibility confirmation with E-Verify For purposes of satisfying the requirement of this condition regarding verification of employment eligibility,the recipient(or any subrecipient)may choose to participate in,and use,E-Verify(www.c-verify.gov),provided an appropriate person authorized to act on behalf of the recipient(or subrecipient)uses E-Verify(and follows the proper E-Verify procedures,including in the event of a"Tentative Nonconfirnlation"or a"Final Nonconfirmation")to confirm employment eligibility for each hiring for a position in the United States that is or will be funded(in whole or in part)with award funds. C."United States"specifically includes the District of Columbia,Puerto Rico,Guam,the Virgin Islands of the United States,and the Commonwealth of the Northern Mariana Islands. D.Nothing in this condition shall be understood to authorize or require any recipient,any subrecipient at any tier,or O ON FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION if Bureau of Justice Assistance SHEET PAGE 6 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09232019 SPECL4L CONDMONS any person or other entity,to violate any federal law,including any applicable civil rights or nondiscrimination law. E.Nothing in this condition,including in paragraph 4.B.,shall be understood to relieve any recipient,any subrecipient at any tier,or any person or other entity,of any obligation otherwise imposed by law,including 8 U.S.C. 1324a(a)(1) and(2). Questions about E-Verify should be directed to DHS. For more information about E-Verify visit the&Verify website(httpsJ/www.e-verify.gov/)or email E-Verify at E-Verify@dhs.gov. E-Verify employer agents can email E- Verify at E-Va*EmployerAgent@dhs.gov. Questions about the meaning or scope of this condition should be directed to OJP,before award acceptance. 10. Requirement to report actual or imminent breach of personally identifiable information(PH) The recipient(and any"subrecipient'at any tier)must have written procedures in place to respond in the event of an actual or imminent'breach"(OMB M-17-12)if it(or a subrecipient)--(1)creates,collects,uses,processes,stores, maintains,disseminates,discloses,or disposes of"personally identifiable information(PIn"(2 CFR 200.79)within the scope of an OJP grant-funded program or activity,or(2)uses or operates a"Federal information system"(OMB Circular A-130). The recipients breach procedures must include a requirement to report actual or imminent breach of PII to an OJP Program Manager no later than 24 hours after an occurrence of an actual breach,or the detection of an imminent breach. 11. All subawards("subgrants")must have specific federal authorization The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements for authorization of any subaward. This condition applies to agreements that--for purposes of federal grants administrative requirements--OJP considers a"subaward"(and therefore does not consider a procurement 'contract"). The details of the requirement for authorization of any subaward are posted on the OJP web site at https://ojp.gov/funding/Explore/SubawardAuthorization.htm(Award condition: All subawards("subgrants")must have specific federal authorization),and are incorporated by reference here. 12. Specific post-award approval required to use a noncompetitive approach in any procurement contract that would exceed$250,000 The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements to obtain specific advance approval to use a noncompetitive approach in any procurement contract that would exceed the Simplified Acquisition Threshold(currently,$250,000). This condition applies to agreements that--for purposes of federal grants administrative requirements--OJP considers a procurement'contract'(and therefore does not consider a subaward). The details of the requirement for advance approval to use a noncompetitive approach in a procurement contract under an OJP award are posted on the OJP web site at https://ojp.gov/funding/Explore/NoncompetitiveProcurementhtm (Award condition: Specific post-award approval required to use a noncompetitive approach in a procurement contract (if contract would exceed$250,000)),and are incorporated by reference here. OJP FORM 40002(REV.4-88) s U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION t SHEET PAGE Bureau of Justice Assistance of 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/2312019 SPECIAL CONDITIONS 13. Unreasonable restrictions on competition under the award;association with federal government SCOPE.This condition applies with respect to any procurement of property or services that is funded(in whole or in part)by this award,whether by the recipient or by any subrecipient at any tier,and regardless of the dollar amount of the purchase or acquisition,the method of procurement,or the nature of any legal instrument used.The provisions of this condition must be among those included in any subaward(at any tier). 1.No discrimination,in procurement transactions,against associates of the federal government Consistent with the(DOJ)Part 200 Uniform Requirements--including as set out at 2 C.F.R.200.300(requiring awards to be"manage[d]and administer[ed]in a manner so as to ensure that Federal funding is expended and associated programs are implemented in full accordance with U.S.statutory and public policy requirements")and 200.319(a)(generally requiring"[a]ll procurement transactions[to]be conducted in a manner providing full and open competition"and forbidding practices"restrictive of competition,"such as"[p]lacing unreasonable requirements on firms in order for them to qualify to do business"and taking"[a]ny arbitrary action in the procurement process")--no recipient(or subrecipient,at any tier)may(in any procurement transaction)discriminate against any person or entity on the basis of such person or entity's status as an"associate of the federal government"(or on the basis of such person or entity's status as a parent,affiliate,or subsidiary of such an associate),except as expressly set out in 2 C.F.R. 200.319(a)or as specifically authorized by USDOJ. 2.Monitoring The recipients monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions designed to ensure compliance with this condition. 4.Rules of construction A.The term"associate of the federal government"means any person or entity engaged or employed(in the past or at present)by or on behalf of the federal government--as an employee,contractor or subcontractor(at any tier),grant recipient or-subrecipient(at any tier),agent,or otherwise--in undertaking any work,project,or activity for or on behalf of(or in providing goods or services to or on behalf of)the federal goverment,and includes any applicant for such employment or engagement,and any person or entity committed by legal instrument to undertake any such work, project,or activity(or to provide such goods or services)in future. B.Nothing in this condition shall be understood to authorize or require any recipient,any subrecipient at any tier,or any person or other entity,to violate any federal law,including any applicable civil rights or nondiscrimination law. 6V OJP FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PAGE s of 29 Grant PROJECTNUMEER 2019-DJ-BX-0640 AWARD DATE 0912312019 SPECIAL CONDITIONS 14. Requirements pertaining to prohibited conduct related to trafficking in persons(including reporting requirements and OJP authority to terminate award) The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements(including requirements to report allegations)pertaining to prohibited conduct related to the trafficking of persons,whether on the part of recipients,subrecipients("subgrantees"),or individuals defined(for purposes of this condition)as"employees" of the recipient or of any subrecipient. The details of the recipient's obligations related to prohibited conduct related to trafficking in persons are posted on the OJP web site at https://ojp.gov/funding/Explore/ProhibitedCotiduct-Trafficking.htm(Award condition Prohibited conduct by recipients and subrecipients related to trafficking in persons(including reporting requirements and OJP authority to terminate award)),and are incorporated by reference here. 15. Determination of suitability to interact with participating minors SCOPE.This condition applies to this award if it is indicated--in the application for the award(as approved by DOJXor in the application for any subaward,at any tier),the DOJ funding announcement(solicitation),or an associated federal statute--that a purpose of some or all of the activities to be carried out under the award(whether by the recipient,or a subrecipient at any tier)is to benefit a set of individuals under 18 years of age. The recipient,and any subrecipient at any tier,must make determinations of suitability before certain individuals may interact with participating minors. This requirement applies regardless of an individual's employment status. 9 The details of this requirement are posted on the OJP web site at https://ojp.gov/funding/Explorvintemct-Minors.htm (Award condition: Determination of suitability required,in advance,for certain individuals who may interact with participating minors),and are incorporated by reference here. 16. Compliance with applicable rules regarding approval,planning,and reporting of conferences,meetings,trainings,and other events The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable laws,regulations, policies,and official DOJ guidance(including specific cost limits,prior approval and reporting requirements,where applicable)governing the use of federal funds for expenses related to conferences(as that term is defined by DOJ), including the provision of food and/or beverages at such conferences,and costs of attendance at such conferences. Information on the pertinent DOJ definition of conferences and the rules applicable to this award appears in the DOJ Grants Financial Guide(currently,as section 3.10 of"Postaward Requirements"in the"DOJ Grants Financial Guide"). 17. Requirement for data on performance and effectiveness under the award The recipient must collect and maintain data that measure the performance and effectiveness of work under this award. The data must be provided to OJP in the manner(including within the timeframes)specified by OJP in the program solicitation or other applicable written guidance. Data collection supports compliance with the Government Performance and Results Act(GPRA)and the GPRA Modernization Act of 2010,and other applicable laws. 18. OJP Training Guiding Principles Any training or training materials that the recipient--or any subrecipient("subgrantee")at any tier--develops or delivers with OJP award funds must adhere to the OJP Training Guiding Principles for Grantees and Subgrantees, available at https://ojp.gov/funding/implemenvTrainingPrinciplesForGmntees-Subgrantees.htm. 01P FORM 4000/2(REV.4.88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION j Bureau of Justice Assistance SHEET PAGE 9 OF 29 Grant PROJECT NUMBER 2019-DJ-BR-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 19. Effect of failure to address audit issues The recipient understands and agrees that the DOJ awarding agency(OJP or OV W,as appropriate)may withhold award funds,or may impose other related requirements,if(as determined by the DOJ awarding agency)the recipient does not satisfactorily and promptly address outstanding issues from audits required by the Part 200 Uniform Requirements(or by the terms of this award),or other outstanding issues that arise in connection with audits, investigations,or reviews of DOJ awards. 20. Potential imposition of additional requirements The recipient agrees to comply with any additional requirements that may be imposed by the DOJ awarding agency (OJP or OV W,as appropriate)during the period of performance for this award,if the recipient is designated as"high- risk"for purposes of the DOJ high-risk grantee list. 21. Compliance with DOJ regulations pertaining to civil rights and nondiscrimination-28 C.F.R.Part 42 The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements of 28 C.F.R.Part 42,specifically including any applicable requirements in Subpart E of 28 C.F.R.Part 42 that relate to an equal employment opportunity program. 22. Compliance with DOJ regulations pertaining to civil rights and nondiscrimination-28 C.F.R.Part 54 The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements of 28 C.F.R.Part 54,which relates to nondiscrimination on the basis of sex in certain"education programs." .23. Compliance with DOJ regulations pertaining to civil rights and nondiscrimination-28 C.F.R.Part 38 The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable requirements of 28 C.F.R.Part 38(as may be applicable from time to time),specifically including any applicable requirements regarding written notice to program beneficiaries and prospective program beneficiaries. Currently,among other things,28 C.F.R.Part 38 includes rules that prohibit specific forms of discrimination on the basis of religion,a religious belie!;a refusal to hold a religious belief,or refusal to attend or participate in a religious practice. Part 38,currently,also sets out rates and requirements that pertain to recipient and subrecipient ("subgrantee")organizations that engage in or conduct explicitly religious activities,as well as rules and requirements that pertain to recipients and subrecipients that are faith-based or religious organizations. The text of 28 C.F.R.Part 38 is available via the Electronic Code of Federal Regulations(currently accessible at https://www.ecfr.gov/cgi-bin/ECFR?page=browse),by browsing to Title 28-Judicial Administration,Chapter 1,Part 38,under a-CFR"current"data. ax OJP FORM 40002(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PAGE 10 OF 29 Grant PROJECTM)MBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECLIL CONDITIONS 24. Restrictions on"lobbying" In general,as a matter of federal law,federal funds awarded by OJP may not be used by the recipient,or any subrecipient("subgrantee")at any tier,either directly or indirectly,to support or oppose the enactment,repeal, modification,or adoption of any law,regulation,or policy,at any level of government. See 18 U.S.C.1913. (There may be exceptions if an applicable federal statute specifically authorizes certain activities that otherwise would be barred by law.) Another federal law generally prohibits federal funds awarded by OJP from being used by the recipient,or any subrecipient at any tier,to pay any person to influence(or attempt to influence)a federal agency,a Member of Congress,or Congress(or an official or employee of any of them)with respect to the awarding of a federal grant or cooperative agreement,subgrant,contract,subcontract,or loan,or with respect to actions such as renewing,extending, or modifying any such award. See 31 U.S.C.1352. Certain exceptions to this law apply,including an exception that applies to Indian tribes and tribal organizations. Should any question arise as to whether a particular use of federal funds by a recipient(or subrecipient)would or might fall within the scope of these prohibitions,the recipient is to contact OJP for guidance,and may not proceed without the express prior written approval of OJP. 25. Compliance with general appropriations-law restrictions on the use of federal funds(FY 2019) The recipient,and any subrecipient("subgrantee")at any tier,must comply with all applicable restrictions on the use of federal funds set out in federal appropriations statutes. Pertinent restrictions,including from various"general provisions"in the Consolidated Appropriations Act,2019,are set out at https://ojp.gov/funding/Explore/FY19AppropriationsRestrictions.hton,and are incorporated by reference here. Should a question arise as to whether a particular use of federal funds by a recipient(or a subrecipient)would or might fall within the scope of an appropriations-law restriction,the recipient is to contact OJP for guidance,and may not proceed without the express prior written approval of OJP. 26. Reporting potential fraud,waste,and abuse,and similar misconduct The recipient and any subrecipients("subgrantees")must promptly refer to the DOJ Office of the Inspector General (OIG)any credible evidence that a principal,employee,agent,subrecipient,contractor,subcontractor,or other person has,in connection with funds under this award--(1)submitted a claim that violates the False Claims Act;or(2) committed a criminal or civil violation of laws pertaining to fraud,conflict of interest,bribery,gratuity,or similar misconduct. Potential fraud,waste,abuse,or misconduct involving or relating to funds under this award should be reported to the OIG by--(1)online submission accessible via the OIG webpage at https://oig.justice.gov/hodine/contact-grants.htm (select"Submit Report Online");(2)mail directed to:Office of the Inspector General,U.S.Department of Justice, Investigations Division,1425 New York Avenue,N.W.Suite 7100,Washington,DC 20530;and/or(3)by facsimile directed to the DOJ OIG Fraud Detection Office(Atter Grantee Reporting)at(202)616-9881(fax). Additional information is available from the DOJ OIG website at https://oigjustice.gov/hotline, Q(' f OJP FORM 4000/2(REV.4-58) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PACE. 11 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/232019 SPECIAL CONDMONS 27. Restrictions and certifications regarding non-disclosure agreements and related matters No recipient or subrecipient("subgrantee")under this award,or entity that receives a procurement contract or subcontract with any funds under this award,may require any employee or contractor to sign an internal confidentiality agreement or statement that prohibits or otherwise restricts,or purports to prohibit or restrict,the reporting(in accordance with law)of waste,fraud,or abuse to an investigative or law enforcement representative of a federal department or agency authorized to receive such information. The foregoing is not intended,and shall not be understood by the agency making this award,to contravene requirements applicable to Standard Form 312(which relates to classified information),Form 4414(which relates to sensitive compartmented information),or any other form issued by a federal department or agency governing the nondisclosure of classified information. 1. In accepting this award,the recipient-- a. represents that it neither requires nor has required internal confidentiality agreements or statements from employees or contractors that currently prohibit or otherwise currently restrict(or purport to prohibit or restrict)employees or contractors from reporting waste,fraud,or abuse as described above;and b. certifies that,if it learns or is notified that it is or has been requiring its employees or contractors to execute agreements or statements that prohibit or otherwise restrict(or purport to prohibit or restrict),reporting of waste,fraud, or abuse as described above,it will immediately stop any further obligations of award funds,will provide prompt written notification to the federal agency making this award,and will resume(or permit resumption of)such obligations only if expressly authorized to do so by that agency. 2• If the recipient does or is authorized under this award to make subawards("subgrants"),procurement contracts,or both-- a. it represents that-- (1) it has determined that no other entity that the recipient's application proposes may or will receive award funds (whether through a subaward("subgrant"),procurement contract,or subcontract under a procurement contract)either requires or has required internal confidentiality agreements or statements from employees or contractors that currently prohibit or otherwise currently restrict(or purport to prohibit or restrict)employees or contractors from reporting waste, fraud,or abuse as described above;and (2) it has made appropriate inquiry,or otherwise has an adequate factual basis,to support this representation;and b. it certifies that,if it learns or is notified that any subrecipient,contractor,or subcontractor entity that receives funds under this award is or has been requiring its employees or contractors to execute agreements or statements that prohibit or otherwise restrict(or purport to prohibit or restrict),reporting of waste,fraud,or abuse as described above,it will immediately stop any further obligations of award funds to or by that entity,will provide prompt written notification to the federal agency making this award,and will resume(or permit resumption of)such obligations only if expressly authorized to do so by that agency. 6X ON FORM 4000/2(REV.4-88) s U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PACE 12 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 28. Compliance with 41 U.S.C.4712(including prohibitions on reprisal;notice to employees) The recipient(and any subrecipient at any tier)must comply with,and is subject to,all applicable provisions of 41 U.S.C.4712,including all applicable provisions that prohibit,under specified circumstances,discrimination against an employee as reprisal for the employee's disclosure of information related to gross mismanagement of a federal grant,a gross waste of federal funds,an abuse of authority relating to a federal grant,a substantial and specific danger to public health or safety,or a violation of law,rule,or regulation related to a federal grant. The recipient also must inform its employees,in writing(and in the predominant native language of the workforce),of employee rights and remedies under 41 U.S.C.4712. Should a question arise as to the applicability of the provisions of 41 U.S.C.4712 to this award,the recipient is to contact the DOJ awarding agency(OJP or OV W,as appropriate)for guidance. 29. Encouragement of policies to ban text messaging while driving Pursuant to Executive Order 13513,"Federal Leadership on Reducing Text Messaging While Driving,"74 Fed.Reg. 51225(October 1,2009),DOJ encourages recipients and subrecipients("subgrantees")to adopt and enforce policies banning employees from text messaging while driving any vehicle during the course of performing work funded by this award,and to establish workplace safety policies and conduct education,awareness,and other outreach to decrease crashes caused by distracted drivers. 30. Requirement to disclose whether recipient is designated"high risk"by a federal grant-making agency outside of DOJ If the recipient is designated"high risk"by a federal grant-making agency outside of DOJ,currently or at any time during the course of the period of performance under this award,the recipient must disclose that fact and certain related information to OJP by email at OJP.ComplianceReporting@ojp,usdoj.gov. For purposes of this disclosure,high risk includes any status under which a federal awarding agency provides additional oversight due to the recipient's past performance,or other programmatic or financial concerns with the recipient The recipient's disclosure must include the following: 1.The federal awarding agency that currently designates the recipient high risk,2.The date the recipient was designated high risk,3.The high-risk point of contact at that federal awarding agency(name,phone number,and email address),and 4.The reasons for the high-risk status,as set out by the federal awarding agency. Q� OJP FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION t' 0 Bureau of Justice Assistance SHEET PAGE 13 OF 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 31. Noninterference(within the funded"program or activity")with federal law enforcement:8 U.S.C.1373 and 1644; ongoing compliance 1.With respect to the"program or activity"funded in whole or part under this award(including any such program or activity of any subrecipient at any tier),throughout the period of performance,no State or local government entity,- agency,or-official may prohibit or in any way restrict--(1)any government entity or-official from sending or receiving information regarding citizenship or immigration status as described in 8 U.S.C.1373(a);or(2)a government entity or-agency from sending,requesting or receiving,maintaining,or exchanging information regarding immigration status as described in either 8 U.S.C. 1373(b)or 1644.Any prohibition(or restriction)that violates this condition is an "information-communication restriction"under this award. 2.The recipients monitoring responsibilities include monitoring of subrecipient compliance with the requirements of this condition. 3.Allowable costs.Compliance with these requirements is an authorized and priority purpose of this award.To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)that the recipient,or any subrecipient at any tier that is a State,a local government,or a public institution of higher education,incurs to implement this condition. 4.Rules of Construction A.For purposes of this condition: (1)"State'and"local government'include any agency or other entity thereof,but not any institution of higher education or any Indian tribe. (2)A"public'institution of higher education is defined as one that is owned,controlled,or directly funded(in whole or in substantial part)by a State or local government.(Such a public institution is considered to be a"government entity," and its officials to be"government officials.") (3)"Program or activity"means what it means under title VI of the Civil Rights Act of 1964(see 42 U.S.C.2000d4a). (4)"Immigration status"means what it means under 8 U.S.C.1373 and 8 U.S.C.1644;and terms that are defined in 8 U.S.C.1101 mean what they mean under that section 1101,except that"State"also includes American Samoa. (5)Pursuant to the provisions set out at(or referenced in)8 U.S.C.1551 note("Abolition...and Transfer of Functions"),references to the"Immigration and Naturalization Service"in 8 U.S.C.1373 and 1644 are to be read as references to particular components of the Department of Homeland Security(DHS). B.Nothing in this condition shall be understood to authorize or require any recipient,any subrecipient at any tier,any State or local government,any public institution of higher education,or any other entity(or individual)to violate any federal law,including any applicable civil rights or nondiscrimination law. IMPORTANT NOTE:Any questions about the meaning or scope of this condition should be directed to OJP,before award acceptance. OR FORM 4000/2(REV.448) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PACE 14 OF 29 i Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 0923/2019 SPECIAL CONDITIONS 32. No use of funds to interfere with federal law enforcement:8 U.S.C. 1373 and 1644;ongoing compliance 1.Throughout the period of performance,no State or local government entity,-agency,or-official may use funds under this award(including under any subaward,at any tier)to prohibit or in any way restrict--(1)any government entity or official from sending or receiving information regarding citizenship or immigration status as described in 8 U.S.C.1373(a);or(2)a government entity or-agency from sending,requesting or receiving,maintaining,or exchanging information regarding immigration status as described in either 8 U.S.C. 1373(b)or 1644.Any prohibition (or restriction)that violates this condition is an"information-communication restriction"under this award. 2.The recipient's monitoring responsibilities include monitoring of subrecipient compliance with the requirements of this condition. 3.Allowable costs.Compliance with these requirements is an authorized and priority purpose of this award.To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)that the recipient,or any subrecipient at any tier that is a State,a local government or a public institution of higher education,incurs to implement this condition. 4.Rules of Construction.Both the"Rules of Construction"and the"Important Note"set out in the"Noninterference (within the funded"program or activity")with federal law enforcement:8 U.S.C.1373 and 1644;ongoing compliance" condition are incorporated by reference as though set forth here in full. OJ?FORM 40002(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION f, (1) Bureau of Justice Assistance SHEET PAGE Is OF 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 33. Authority to obligate award funds contingent on noninterference(within the funded"program or activity")with federal law enforcement:8 U.S.C.1373 and 1644;unallowable costs;notification 1.If the recipient is a"State,"a local government,or a"public"institution of higher education: A.The recipient may not obligate award funds if,at the time of the obligation,the"program or activity"of the recipient (or of any subrecipient at any tier that is a State,a local government,or a public institution of higher education)that is funded in whole or in part with award funds is subject to any"information-communication restriction." B.In addition,with respect to any project costs it incurs"at risk,"the recipient may not obligate award funds to reimburse itself if--at the time it incurs such costs—the program or activity of the recipient(or of any subrecipient at any tier that is a State,a local government,or a public institution of higher education)that would be reimbursed in whole or in part with award funds was subject to any information-communication restriction. C.Any drawdown of award funds by the recipient shall be considered,for all purposes,to be a material representation by the recipient to OJP that,as of the date the recipient requests the drawdown,the recipient and each subrecipient (regardless of tier)that is a State,local government,or public institution of higher education,is in compliance with the award condition entitled"Noninterference(within the funded'program or activity)with federal law enforcement:8 U.S.C.1373 and 1644;ongoing compliance." D.The recipient must promptly notify OJP(in writing)if the recipient,from its requisite monitoring of compliance with award conditions or otherwise,has credible evidence that indicates that the funded program or activity of the recipient,or of any subrecipient at any tier that is either a State or a local government or a public institution of higher education,may be subject to any information-communication restriction.In addition,any subaward(at any tier)to a subrecipient that is a State,a local government,or a public institution of higher education must require prompt notification to the entity that made the subaward,should the subrecipient have such credible evidence regarding an information-communication restriction. 2.Any subaward(at any tier)to a subrecipient that is a State,a local government,or a public institution of higher education must provide that the subrecipient may not obligate award funds if,at the time of the obligation,the program or activity of the subrecipient(or of any further such subrecipient at any tier)that is funded in whole or in part with award funds is subject to any information-communication restriction. 3.Absent an express written determination by DOJ to the contrary,based upon a finding by DOJ of compelling circumstances(e.g.,a small amount of award funds obligated by the recipient at the time of a subrecipierifs minor and transitory non-compliance,which was unknown to the recipient despite diligent monitoring),any obligations of award funds that,under this condition,may not be made shall be unallowable costs for purposes of this award.In making any such determination,DOJ will give great weight to evidence submitted by the recipient that demonstrates diligent monitoring of subrecipient compliance with the requirements set out in the"Noninterference...8 U.S.C. 1373 and 1644;ongoing compliance"award condition. 4.Rules of Construction A.For purposes of this condition"information-communication restriction"has the meaning set out in the "Noninterference...8 U.S.C. 1373 and 1644;ongoing compliance"condition. B.Both the"Rules of Construction"and the"Important Note"set out in the"Noninterference...8 U.S.C.1373 and 1644;ongoing compliance"condition are incorporated by reference as though set forth here in full. Qf ora FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION pBureau of Justice Assistance SHEET PACE 16 OF 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/132019 SPECIAL CONDITIONS 34. Authority to obligate award funds contingent on no use of funds to interfere with federal law enforcement:8 U.S.C. 1373 and 1644;unallowable costs;notification 1.If the recipient is a"State,"a local government,or a"public'institution of higher education: A.The recipient may not obligate award funds if,at the time of the obligation,the"program or activity"of the recipient (or of any subrecipient at any tier that is a State,a local government,or a public institution of higher education)that is funded in whole or in part with award funds is subject to any"information-communication restriction." B,In addition,with respect to any project costs it incurs"at risk,"the recipient may not obligate award funds to reimburse itself if--at the time it incurs such costs--the program or activity of the recipient(or of any subrecipient at any tier that is a State,a local government,or a public institution of higher education)that would be reimbursed in whole or in part with award funds was subject to any information-communication restriction. C.Any drawdown of award funds by the recipient shall be considered,for all purposes,to be a material representation by the recipient to ON that,as of the date the recipient requests the drawdown,the recipient and each subrecipient (regardless of tier)that is a State,local government,or public institution of higher education,is in compliance with the award condition entitled"No use of funds to interfere with federal law enforcement:8 U.S.C. 1373 and 1644;ongoing compliance." D.The recipient must promptly notify OJP(in writing)if the recipient,from its requisite monitoring of compliance with award conditions or otherwise,has credible evidence that indicates that the funded program or activity of the recipient,or of any subrecipient at any tier that is either a State or a local government or a public institution of higher education,may be subject to any information-communication restriction-In addition,any subaward(at any tier)to a subrecipient that is a State,a local government,or a public institution of higher education must require prompt notification to the entity that made the subaward,should the subrecipient have such credible evidence regarding an information-communication restriction. 2.Any subaward(at any tier)to a subrecipient that is a State,a local government,or a public institution of higher education must provide that the subrecipient may not obligate award funds if,at the time of the obligation,the program or activity of the subrecipient(or of any further such subrecipient at any tier)that is funded in whole or in part with award funds is subject to any information-communication restriction. 3.Absent an express written determination by DOJ to the contrary,based upon a finding by DOJ of compelling circumstances(e.g.,a small amount of award funds obligated by the recipient at the time of a subrecipienPs minor and transitory non-compliance,which was unknown to the recipient despite diligent monitoring),any obligations of award funds that,under this condition,may not be made shall be unallowable costs for purposes of this award.In making any such determination,DOJ will give great weight to evidence submitted by the recipient that demonstrates diligent monitoring of subrecipient compliance with the requirements set out in the"No use of funds to interfere...8 U.S.C. 1373 and 1644;ongoing compliance"award condition. . 4.Rules of Construction. The"Rules of Construction"set out in the"Authority to obligate award funds contingent on noninterference(within the funded"program or activity")with federal law enforcement:8 U.S.C. 1373 and 1644; unallowable costs;notification"condition are incorporated by reference as though set forth here in full. OJP FORM 40002(REV.4-88) i U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Yay Bureau of Justice Assistance SHEET PAGE 17 OF 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 35. Noninterference(within the funded"program or activity")with federal law enforcement:No public disclosure of certain law enforcement sensitive information SCOPE.This condition applies with respect to the"program or activity"that is funded(in whole or in part)by the award,as of the date the recipient accepts this award,and throughout the remainder of the period of performance.Its provisions must be among those included in any subaward(at any tier). 1.Noninterference:No public disclosure of federal law enforcement information in order to conceal,harbor,or shield Consistent with the purposes and objectives of federal law enforcement statutes and federal criminal law(including 8 U.S.C. 1324 and 18 U.S.C.chs. 1,49,227),no public disclosure may be made of any federal law enforcement information in a direct or indirect attempt to conceal,harbor,or shield from detection any fugitive from justice under 18 U.S.C.ch 49,or any alien who has come to,entered,or remains in the United States in violation of 8 U.S.C.ch.12-- without regard to whether such disclosure would constitute(or could form a predicate for)a violation of 18 U.S.C. 1071 or 1072 or of 8 U.S.C.1324(a). 2.Monitoring The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs ( l To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the _ reasonable,necessary,and allocable costs(if any)of actions(e.g.,training)designed to ensure compliance with this condition. 4.Rules of construction A.For purposes of this condition-- (1)the term"alien"means what it means under section 101 of the Immigration and Nationality Act(see 8 U.S.C. I I01(a)(3)); (2)the term"federal law enforcement information"means law enforcement sensitive information communicated or made available,by the federal government,to a State or local government entity,-agency,or-official,through any means,including,without limitation--(1)through any database,(2)in connection with any law enforcement partnership or-task-force,(3)in connection with any request for law enforcement assistance or-cooperation,or(4) through any decoti iction(or courtesy)notice of planned,imminent,commencing,continuing,or impending federal law enforcement activity; (3)the term"law enforcement sensitive information"means records or information compiled for any law enforcement purpose;and (4)the term"public disclosure"means any communication or release other than one--(a)within the recipient,or(b)to any subrecipient(at any tier)that is a government entity. B.Both the"Rules of Construction"and the"Important Note"set out in the"Noninterference(within the funded 'program or activity)with federal law enforcement:8 U.S.C.1373 and 1644 and ongoing compliance"award condition are incorporated by reference as though set forth here in full. ve OJP FORM 400012(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PACE 18 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 36. No use of funds to interfere with federal law enforcement:No public disclosure of certain law enforcement sensitive information SCOPE.This condition applies as of the date the recipient accepts this award,and throughout the remainder of the period of performance.Its provisions must be among those included in any subaward(at any tier). 1.No use of funds to interfere:No public disclosure of federal law enforcement information in order to conceal,harbor, or shield Consistent with the purposes and objectives of federal law enforcement statutes and federal criminal law(including 8 U.S.C.1324 and 18 U.S.C.chs.1,49,227),no funds under this award may be used to make any public disclosure of any federal law enforcement information in a direct or indirect attempt to conceal,harbor,or shield from detection any fugitive from justice under 18 U.S.C.ch.49,or any alien who has come to,entered,or remains in the United States in violation of 8 U.S.C.ch.12—without regard to whether such disclosure would constitute(or could form a predicate for)a violation of 18 U.S.C.1071 or 1072 or of 8 U.S.C. 1324(a). 2.Monitoring The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions(e.g.,training)designed to ensure compliance with this condition. 4.Rules of construction. The"Rules of Construction"set out in the"Noninterference(within the funded"program or activity")with federal law enforcement:No public disclosure of certain law enforcement sensitive information"award condition are incorporated by reference as though set forth here in full. i OJP FORM 4000/2(REV.4-88) i U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION If } Bureau of Justice Assistance SHEET PAGE 19 OF 29 Grant PROJECT NUMBER 2019-D1-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 37. Noninterference(within the funded"program or activity")with federal law enforcement:Interrogation of certain aliens SCOPE.This condition applies with respect to the"program or activity"that is funded(in whole or in part)by this award,as of the date the recipient accepts this award,and throughout the remainder of the period of performance for the award.Its provisions must be among those included in any subaward(at any tier). I.Noninterference with statutory law enforcement access to correctional facilities Consonant with federal law enforcement statutes and regulations--including 8 U.S.C.1357(a),under which certain federal officers and employees"have power without warrant...to interrogate any alien or person believed to be an alien as to his right to be or to remain in the United States,"and 8 C.F.R.287.5(a),under which that power may be exercised "anywhere in or outside the United States"--within the funded program or activity,no State or local government entity,-agency,or-official may interfere with the exercise of that power to interrogate"without warrant"(by agents of the United States acting under color of federal law)by impeding access to any State or local government(or government-contracted)correctional facility by such agents for the purpose of"interrogat(ing]any alien or person believed to be an alien as to his[or her]right to be or to remain in the United States." 2.Monitoring The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions(e.g.,training)designed to ensure compliance with this condition. 4.Rules of construction A.For purposes of this condition: (1)The term"alien"means what it means under section 101 of the Immigration and Nationality Act(INA)(see 8 U.S.C.1101(a)(3)). (2)The term"correctional facility"means what it means under the title I of the Omnibus Crime Control and Safe Streets Act of 1968(see 34 U.S.C.10251(a)(7)). (3)The term"impede"includes taking or continuing any action,or implementing or maintaining any law,policy,rule, or practice,that— (a) hat(a)is designed to prevent or to significantly delay or complicate,or (b)has the effect of preventing or of significantly delaying or complicating. B.Both the"Rules of Construction"and the"Important Note"set out in the"Noninterference(within the funded 'program or activity')with federal law enforcement:8 U.S.C.1373 and 1644 and ongoing compliance"award condition are incorporated by reference as though set forth here in full. LA DIP FORM 4000/2(REV.4-88) ,l +f! I U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION I �\f Bureau of Justice Assistance SHEET PAGE 20 OF 29 Grant iPROJECTNUMBER 2019-D1-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 38. No use of funds to interfere with federal law enforcement:Interrogation of certain aliens SCOPE.This condition applies as of the date the recipient accepts this award,and throughout the remainder of the period of performance for the award.Its provisions must be among those included in any subaward(at any tier). 1.No use of funds to interfere with statutory law enforcement access to correctional facilities Consonant with federal law enforcement statutes and regulations--including 8 U.S.C.1357(a),under which certain federal officers and employees"have power without warrant...to interrogate any alien or person believed to be an alien as to his right to be or to remain in the United States,"and 8 C.F.R.287.5(a),under which that power may be exercised "anywhere in or outside the United States"--no State or local government entity,-agency,or-official may use funds under this award to interfere with the exercise of that power to interrogate"without warrant"(by agents of the United States acting under color of federal law)by impeding access to any State or local government(or government- contracted)correctional facility by such agents for the purpose of"interrogat[ing]any alien or person believed to be an alien as to his[or her]right to be or to remain in the United States." 2.Monitoring The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions(e.g.,training)designed to ensure compliance with this condition. 4.Rules of construction. The"Rules of Construction"set out in the'Noninterference(within the funded"program or activity")with federal law enforcement:Interrogation of certain aliens"award condition are incorporated by reference as though set forth here in full. DIP FORM 4000/2(REV.4.89) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION a i Bureau of Justice Assistance SHEET PACE 21 OF 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09@3/2019 SPECIAL CONDrHONS 39. Noninterference(within the funded"program or activity")with federal law enforcement:Notice of scheduled release SCOPE.This condition applies with respect to the"program or activity"that is funded(in whole or in part)by the award,as of the date the recipient accepts the award,and throughout the remainder of the period of performance.Its provisions must be among those included in any subaward at any tier. 1.Noninterference with"removal"process:Notice of scheduled release date and time Consonant with federal law enforcement statutes--including 8 U.S.C.1231(for an alien incarcerated by a State or local government,a 90-day"removal period"during which the federal government"shall"detain and then"shall" remove an alien from the U.S."begins"no later than"the date the alien is released from...confinement";also,the federal government is expressly authorized to make payments to a"State or a political subdivision of the State...with respect to the incarceration of[an]undocumented criminal alien!');8 U.S.C.1226(the federal goverment"shall take into custody"certain criminal aliens"when the alien is released");and 8 U.S.C.1366(requiring an annual DOJ report to Congress on"the number of illegal alien[felons]in Federal and State prisons"and programs underway"to ensure the prompt removal"from the U.S.of removable"criminal aliens")--within the funded program or activity,no State or local government entity,-agency,or official(including a government-contracted correctional facility)may interfere with the"removal"process by failing to provide—as early as practicable(see para.4.C.below)--advance notice to DHS of the scheduled release date and time for a particular alien,if a State or local government(or government- contracted)correctional facility receives from DHS a formal written request pursuant to the INA that seeks such advance notice. 2.Monitoring The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions(e.g.,training)designed to ensure compliance with this condition. 4.Rules of construction A.The"Rules of Construction"set out in the"Noninterference(within the funded"program or activity")with federal law enforcement:Interrogation of certain aliens"award condition are incorporated by reference as though set forth here in full. B.Nothing in this condition shall be understood to authorize or require any recipient,any subrecipient at any tier,any State or local government,or any other entity or individual to maintain(or detain)any individual in custody beyond the date and time the individual otherwise would have been released. C.Applicability (1)Current DHS practice is ordinarily to request advance notice of scheduled release"as early as practicable(at least 48 hours,if possible)."(See DHS Form I-247A(3/17)).If(e.g.,in light of the date DHS made such request)the scheduled release date and time for an alien are such as not to allow for the advance notice that DHS has requested,it shall NOT be a violation of this condition to provide only as much advance notice as practicable. (2)Current DHS practice is to use the same form for a second,distinct purpose--to request that an individual be detained for up to 48 hours AFTER the scheduled release.This condition does NOT encompass such DHS requests for detention. QCF OJP FORM 400012(REV.4-88) - U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PAGE 22 OF 29 Grant PROJECTNUMBER 2019-01-BX-0640 AWARD DATE 09/232019 SPECIAL CONDITIONS 40. No use of funds to interfere with federal law enforcement:Notice of scheduled release SCOPE.This condition applies as of the date the recipient accepts the award,and throughout the remainder of the period of performance.Its provisions must be among those included in any subaward at any tier. 1.No use of finds to interfere with"removal"process:Notice of scheduled release date and time Consonant with federal law enforcement statutes--including 8 U.S.C.1231(for an alien incarcerated by a State or local government,a 90-day"removal period"during which the federal government"shall"detain and then"shall" remove an alien from the U.S."begins"no later than"the date the alien is released from...confinement";also,the federal government is expressly authorized to make payments to a"State or a political subdivision of the State...with respect to the incarceration of[an]undocumented criminal alien");8 U.S.C.1226(the federal government"shall take into custody"certain criminal aliens"when the alien is released");and 8 U.S.C.1366(requiring an annual DOJ report to Congress on"the number of illegal alien[felons]in Federal and State prisons"and programs underway"to ensure the prompt removal"from the U.S.of removable"criminal aliens")--no State or local government entity,-agency,or- official(including a government-contracted correctional facility)may use funds under this award to interfere with the "removal"process by failing to provide--as early as practicable(see para 4.C.below)--advance notice to DHS of the scheduled release date and time for a particular alien,if a State or local government(or government-contracted) correctional facility receives from DHS a formal written request pursuant to the INA that seeks such advance notice. 2.Monitoring The recipient's monitoring responsibilities include monitoring of subrecipient compliance with this condition. 3.Allowable costs To the extent that such costs are not reimbursed under any other federal program,award funds may be obligated for the reasonable,necessary,and allocable costs(if any)of actions(e.g.,training)designed to ensure compliance with this condition. 4.Rules of construction. The"Rules of Construction"set out in the"Noninterference(within the funded"program or activity")with federal law enforcement:Notice of scheduled release"award condition are incorporated by reference as though set forth here in full. 41. Requirement to collect certain information from subrecipients Except as provided in this condition,the recipient may not make a subaward to a State,a local government,or a "public"institution of higher education,unless it fust obtains from the proposed subrecipient responses to the questions identified in the program solicitation as"Information regarding Communication with the Department of Homeland Security(DHS)and/or Immigration and Customs Enforcement(ICE)."All subrecipient responses must be collected and maintained by the recipient,consistent with document retention requirements,and must be made available to DOJ upon request.Responses to these questions are not required from subrecipients that are either a tribal govemmentlorganization,a nonprofit organization,or a private institution of higher education. Mr OJP FORM 40002(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION a Bureau of Justice Assistance SHEET PAGE 23 OF 29 a Grant PROJECT NUMBER 2019-D1-BX-0640 AWARD DATE 09/232019 SPECIAL CONDITIONS 42. Cooperating with OJP Monitoring The recipient agrees to cooperate with OJP monitoring of this award pursuant to OJP's guidelines,protocols,and procedures,and to cooperate with OJP(including the grant manager for this award and the Office of Chief Financial Officer(OCFO))requests related to such monitoring,including requests related to desk reviews and/or site visits. The recipient agrees to provide to ON all documentation necessary for ON to complete its monitoring tasks,including documentation related to any subawards made under this award. Further,the recipient agrees to abide by reasonable deadlines set by OJP for providing the requested documents. Failure to cooperate with OJP's monitoring activities may result in actions that affect the recipient's DOJ awards,including,but not limited to:withholdings and/or other restrictions on the recipient's access to award funds;referral to the DOJ OIG for audit review;designation of the recipient as a DOJ High Risk grantee;or termination of an award(s). 43. FFATA reporting: Subawards and executive compensation The recipient must comply with applicable requirements to report fust-tier subawards("subgrants")of$25,000 or more and,in certain circumstances,to report the names and total compensation of the five most highly compensated executives of the recipient and first-tier subrecipients(first-tier"subgrantees")of award funds. The details of recipient obligations,which derive from the Federal Funding Accountability and Transparency Act of 2006(FFATA),are posted on the OJP web site at https://ojp.gov/funding/Explore/FFATA.htin(Award condition:Reporting Subawards and Executive Compensation),and are incorporated by reference here. This condition,including its reporting requirement,does not apply to--(1)an award of less than$25,000,or(2)an award made to an individual who received the award as a natural person(i.e.,unrelated to any business or non-profit organization that he or she may own or operate in his or her name). 44. Required monitoring of subawards The recipient must monitor subawards under this award in accordance with all applicable statutes,regulations,award conditions,and the DOJ Grants Financial Guide,and must include the applicable conditions of this award in any subaward.Among other things,the recipient is responsible for oversight of subrecipient spending and monitoring of specific outcomes and benefits attributable to use of award funds by subrecipients.The recipient agrees to submit,upon request,documentation of its policies and procedures for monitoring of subawards under this award. 45. Use of program income Program income(as defined in the Part 200 Uniform Requirements)must be used in accordance with the provisions of the Part 200 Uniform Requirements. Program income earnings and expenditures both must be reported on the quarterly Federal Financial Report,SF 425. 46. Justice Information Sharing Information sharing projects funded under this award must comply with DOJ's Global Justice Information Sharing Initiative(Global)guidelines.The recipient(and any subrecipient at any tier)must conform to the Global Standards Package(GSP)and all constituent elements,where applicable,as described at:https://it.cjp.gov/gsp-grautcondition. The recipient(and any subrecipient at any tier)must document planned approaches to information sharing and describe compliance with the GSP and appropriate privacy policy that protects shared information,or provide detailed justification for why an alternative approach is recommended. c1N OJP FORM 4000/2(REV.4-88) U.S.Department of Justice fes, Office of Justice Programs AWARD CONTINUATION { r Bureau of Justice Assistance SHEET PAGE 24 OF 29 nm Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 47. Avoidance of duplication of networks To avoid duplicating existing networks or IT systems in any initiatives funded by BJA for law enforcement information sharing systems which involve interstate connectivity between jurisdictions,such systems shall employ,to the extent possible,existing networks as the communication backbone to achieve interstate connectivity,unless the recipient can demonstrate to the satisfaction of BJA that this requirement would not be cost effective or would impair the functionality of an existing or proposed IT system. 48. Compliance with 28 C.F.R.Part 23 With respect to any information technology system funded or supported by funds under this award,the recipient(and any subrecipient at any tier)must comply with 28 C.F.R Part 23,Criminal Intelligence Systems Operating Policies,if OJP determines this regulation to be applicable.Should OJP determine 28 C.F.R.Part 23 to be applicable,ON may,at its discretion,perform audits of the system,as per the regulation.Should any violation of 28 C.F.R.Part 23 occur,the recipient may be fined as per 34 U.S.C.10231(c)-(d). The recipient may not satisfy such a fine with federal funds. 49. Protection of human research subjects The recipient(and any subrecipient at any tier)must comply with the requirements of 28 C.F.R.Part 46 and all OJP policies and procedures regarding the protection of human research subjects,including obtainment of Institutional Review Board approval,if appropriate,and subject informed consent. 50. Confidentiality of data The recipient(and any subrecipient at any tier)must comply with all confidentiality requirements of 34 U.S.C.10231 and 28 C.F.R Part 22 that are applicable to collection,use,and revelation of data or information.The recipient further agrees,as a condition of award approval,to submit a Privacy Certificate that is in accord with requirements of 28 C.F.R.Part 22 and,in particular,28 C.F.R.22.23. 51. Verification and updating of recipient contact information The recipient must verify its Point of Contact(POC),Financial Point of Contact(FPOC),and Authorized Representative contact information in GMS,including telephone number and e-mail address. If any information is incorrect or has changed,a Grant Adjustment Notice(GAN)must be submitted via the Grants Management System (GMS)to document changes. I OJP FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PAGE 25 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/23/2019 SPECIAL CONDITIONS 52. Law enforcement task forces-required training Within 120 days of award acceptance,each current member of a law enforcement task force funded with award funds who is a task force commander,agency executive,task force officer,or other task force member of equivalent rank, must complete required online(intemet-based)task force training.Additionally,all future task force members must complete this training once during the period of performance for this award,or once every four years if multiple OJP awards include this requirement. The required training is available free of charge online through the BJA-funded Center for Task Force Integrity and Leadership(www.ctfii.org).The training addresses task force effectiveness,as well as other key issues including privacy and civil liberties/rights,task force performance measurement,personnel selection,and task force oversight and accountability.If award funds are used to support a task force,the recipient must compile and maintain a task force personnel roster,along with course completion certificates. Additional information regarding the training is available through BJA's web site and the Center for Task Force Integrity and Leadership(www.ctfli.org). 53. Justification of consultant rate Approval of this award does not indicate approval of any consultant rate in excess of$650 per day.A detailed justification must be submitted to and approved by the OJP program office prior to obligation or expenditure of such funds. 54. Submission of eligible records relevant to the National Instant Background Check System Consonant with federal statutes that pertain to firearm and background checks--including 18 U.S.C.922 and 34 U.S.C.ch.409--if the recipient(or any subrecipient at any tier)uses this award to fund(in whole or in part)a specific project or program(such as a law enforcement,prosecution,or court program)that results in any court dispositions, information,or other records that are"eligible records"(under federal or State law)relevant to the National Instant Background Check System(NICS),or that has as one of its purposes the establishment or improvement of records systems that contain any court dispositions,information,or other records that are"eligible records"(under federal or State law)relevant to the NICS,the recipient(or subrecipient,if applicable)must ensure that all such court dispositions,information,or other records that are"eligible records"(under federal or State law)relevant to the MCS are promptly made available to the NICS or to the"State"repository/database that is electronically available to(and accessed by)the NICS,and--when appropriate--promptly must update,correct,modify,or remove such NICS- relevant"eligible records". In the event of minor and transitory non-compliance,the recipient may submit evidence to demonstrate diligent monitoring of compliance with this condition(including subrecipient compliance). DOJ will give great weight to any such evidence in any express written determination regarding this condition. OJP FORM 400012(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION ` Bureau of Justice Assistance SHEET PAGE 26 OF 29 Grant PROJECTNUMBER 2019-DJ-BX-0640 AWARD DATE 09/232019 SPECIAL CONDITIONS 55. Compliance with National Environmental Policy Act and related statutes Upon request,the recipient(and any subrecipient at any tier)must assist BJA in complying with the National Environmental Policy Act(NEPA),the National Historic Preservation Act,and other related federal environmental impact analyses requirements in the use of these award funds,either directly by the recipient or by a subrecipient. Accordingly,the recipient agrees to first determine if any of the following activities will be funded by the grant,prior to obligating funds for any of these purposes.If it is determined that any of the following activities will be funded by the award,the recipient agrees to contact BJA. The recipient understands that this condition applies to new activities as set out below,whether or not they are being specifically funded with these award funds.That is,as long as the activity is being conducted by the recipient,a subrecipient,or any third party,and the activity needs to be undertaken in order to use these award funds,this condition must first be met.The activities covered by this condition are: a.New construction; b.Minor renovation or remodeling of a property located in an environmentally or historically sensitive area,including properties located within a 100-year flood plain,a wetlaud,or habitat for endangered species,or a property listed on or eligible for listing on the National Register of Historic Places; c.A renovation,lease,or any proposed use of a building or facility that will either(a)result in a change in its basic prior use or(b)significantly change its size; d.Implementation of a new program involving the use of chemicals other than chemicals that are(a)purchased as an incidental component of a funded activity and(b)traditionally used,for example,in office,household,recreational,or education environments;and e.Implementation of a program relating to clandestine methamphetamine laboratory operations,including the identification,seizure,or closure of clandestine methamphetamine laboratories. The recipient understands and agrees that complying with NEPA may require the preparation of an Environmental Assessment and/or an Environmental Impact Statement,as directed by BJA.The recipient further understands and agrees to the requirements for implementation of a Mitigation Plan,as detailed at https://bja.gov/Funding/nepa.html,for programs relating to methamphetamine laboratory operations. Application of This Condition to Recipient's Existing Programs or Activities: For any of the recipient's or its subrecipients'existing programs or activities that will be funded by these award funds,the recipient,upon specific request from BJA,agrees to cooperate with BJA in any preparation by BJA of a national or program environmental assessment of that funded program or activity. 56. Establishment of trust fund If award funds are being drawn down in advance,the recipient(or a subrecipient,with respect to a subaward)is required to establish a trust fund account.Recipients(and subrecipients)must maintain advance payments of federal awards in interest-bearing accounts,unless regulatory exclusions apply(2 C.F.R.200.305(bx8)).The trust fund, including any interest,may not be used to pay debts or expenses incurred by other activities beyond the scope of the Edward Byrne Memorial Justice Assistance Grant Program(JAG).The recipient also agrees to obligate the award funds in the trust fund(including any interest earned)during the period of performance for the award and expend within 90 days thereafter.Any unobligated or unexpended funds,including interest earned,must be returned to OJP at the time of closeout. �F ( OR FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION `, Bureau of Justice Assistance SHEET PAGE 27 OF 29 0�v,r Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09232019 SPECIAL CONDITIONS 57. Prohibition on use of award funds for match under BVP program JAG funds may not be used as the 50%match for purposes of the DOJ Bulletproof Vest Partnership(BVP)program. 58. Certification of body armor"mandatory wear"policies If recipient uses funds under this award to purchase body armor,the recipient must submit a signed certification that law enforcement agencies receiving body armor purchased with funds from this award have a written"mandatory wear"policy in effect.The recipient must keep signed certifications on file for any subrecipients planning to utilize funds from this award for ballistic-resistant and stab-resistant body armor purchases.This policy must be in place for at least all uniformed officers before any funds from this award may be used by an agency for body armor.There are no requirements regarding the nature of the policy other than it be a mandatory wear policy for all uniformed officers while on duty. 59. Body armor-compliance with NIJ standards and other requirements Ballistic-resistant and stab-resistant body armor purchased with JAG award funds may be purchased at any threat level,make or model,from any distributor or manufacturer,as long as the body armor has been tested and found to comply with applicable National Institute of Justice ballistic or stab standards and is listed on the NIJ Compliant Body Armor Model List(https://nij.gov/topics/technology/body-armor/Pages/compliant-ballistic-armor.aspx).In addition, ballistic-resistant and stab-resistant body armor purchased must be made in the United States and must be uniquely fitted,as set forth in 34 U.S.C. 10202(c)(1 XA).The latest NU standard information can be found here:https://nij.gov/ topics/technology/body-armor/pages/safety-initiative.aspx. 60. Body armor-impact on eligibility for other program funds The recipient understands that the use of funds under this award for purchase of body armor may impact eligibility for funding under the Bulletproof Vest Partnership(BVP)program,a separate program operated by BJA,pursuant to the BVP statute at 34 USC 10531(cx5). 61. Reporting requirements The recipient must submit quarterly Federal Financial Reports(SF-425)and semi-annual performance reports through OJP's GMS(https://grants.ojp.usdoj.gov).Consistent with the Department's responsibilities under the Goverment Performance and Results Act(GPRA)and the GPRA Modernization Act of 2010,the recipient must provide data that measure the results of its work The recipient must submit quarterly performance metrics reports through BJA's Performance Measurement Tool(PMT)website(www.bjaperformancetools.org).For more detailed information on reporting and other JAG requirements,refer to the JAG reporting requirements webpage.Failure to submit required JAG reports by established deadlines may result in the freezing of grant funds and future High Risk designation. 62. Required data on law enforcement agency training Any law enforcement agency receiving direct or sub-awarded funding from this JAG award must submit quarterly accountability metrics data related to training that officers have received on the use of force,racial and ethnic bias,de- escalation of conflict,and constructive engagement with the public. OJP FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION Bureau of Justice Assistance SHEET PAGE 28 OF 29 Grant PROJECT NUMBER 2019-DJ-BX-0640 AWARD DATE 09/13/2019 SPECIAL CONDITIONS 63. Expenditures prohibited without waiver No funds under this award may be expended on the purchase of items prohibited by the JAG program statute,unless,as set forth at 34 U.S.C.10152,the BJA Director certifies that extraordinary and exigent circumstances exist,making such expenditures essential to the maintenance of public safety and good order. 64. Authorization to obligate(federal)award funds to reimburse certain project costs incurred on or after October 1,2018 The recipient may obligate(federal)award funds only after the recipient makes a valid acceptance of the award. As of the first day of the period of performance for the award(October 1,2018),however,the recipient may choose to incur project costs using non-federal funds,but any such project costs are incurred at the recipient's risk until,at a minimum--(1)the recipient makes a valid acceptance of the award,and(2)all applicable withholding conditions are removed by OJP(via a Grant Adjustment Notice). (A withholding condition is a condition in the award document that precludes the recipient from obligating,expending,or drawing down all or a portion of the award funds until the condition is removed.) Except to the extent(if any)that an award condition expressly precludes reimbursement of project costs incurred"at- risk,"if and when the recipient makes a valid acceptance of this award and OR removes each applicable withholding condition through a Grant Adjustment Notice,the recipient is authorized to obligate(federal)award funds to reimburse itself for project costs incurred"at-risk"earlier during the period of performance(such as project costs incurred prior to award acceptance or prior to removal of an applicable withholding condition),provided that those project costs otherwise are allowable costs under the award. Nothing in this condition shall be understood to authorize the recipient(or any subrecipient at any tier)to use award funds to"supplant"State or local funds in violation of the recipient's certification(executed by the chief executive of the State or local government)that federal funds will be used to increase the amounts of such funds that would,in the absence of federal funds,be made available for law enforcement activities. 65. Use of funds for DNA testing;upload of DNA profiles If award funds are used for DNA testing of evidentiary materials,any resulting eligible DNA profiles must be uploaded to the Combined DNA Index System("CODIS,"the DNA database operated by the FBI)by a government DNA laboratory with access to CODIS. No profiles generated under this award may be entered or uploaded into any non-governmental DNA database without prior express written approval from BJA. Award funds may not be used for the purchase of DNA equipment and supplies unless the resulting DNA profiles may be accepted for entry into CODIS. 66. Encouragement of submission of"success stories" BJA strongly encourages the recipient to submit annual(or more frequent)JAG success stories.To submit a success story,sign in to a My BJA account at https://www.bja.gov/Loginaspx to access the Success Story Submission form.If the recipient does not yet have a My BJA account,please register at https://www.bja.gov/profrle.aspx.Once registered,one of the available areas on the My BJA page will be"My Success Stories."Within this box,there is an option to add a Success Story.Once reviewed and approved by BJA,all success stories will appear on the BJA Success Storywebpageathttps://www.bja.gov/SuccessStoryList.aspx. Q� C� OJP FORM 4000/2(REV.4-88) U.S.Department of Justice Office of Justice Programs AWARD CONTINUATION i. Bureau of Justice Assistance SHEET PAGE 29 OF 29 Grant PROJECTNUMEER 2019-DI-EX-0640 AWARD DATE 09/232019 SPECIAL CONDITIONS 67. Withholding-DHS question attachment The recipient may not obligate,expend or draw down funds until the Office of Justice Programs has received and approved the required application attachment(s)described in the program solicitation as"Information regarding Communication with the Department of Homeland Security(DHS)and/or Immigration and Customs Enforcement (ICE),"and has issued a Grant Adjustment Notice(GAN)releasing this special condition. Q l' OJP FORM 40002(REV.4-88) U.S.Department of Justice Office of Justice Programs 'v Bureau of Justice Assistance Wa hingfon.D.C. 20531 Memorandum To: Official Grant File From: Orbin Terry,NEPA Coordinator Subject: Incorporates NEPA Compliance in Further Developmental Stages for Waterloo City The Edward Byrne Memorial Justice Assistance Grant Program(JAG)allows states and local governments to support a broad range of activities to prevent and control crime and to improve the criminal justice system,some of which could have environmental impacts. All recipients of JAG funding must assist BJA in complying with NEPA and other related federal environmental impact analyses requirements in the use of grant funds,whether the funds are used directly by the grantee or by a subgrantee or third party. Accordingly,prior to obligating funds for any of the specified activities,the grantee must fust determine if any of the specified activities will be funded by the grant. The specified activities requiring environmental analysis are: a.New construction; b.Any renovation or remodeling of a property located in an environmentally or historically sensitive area, including properties located within a 100-year flood plain,a wetland,or habitat for endangered species,or a property listed on or eligible for listing on the National Register of Historic Places; c. A renovation,lease,or any proposed use of a building or facility that will either(a)result in a change in its basic prior use or(b)significantly change its size; d. Implementation of a new program involving the use of chemicals other than chemicals that are(a)purchased as an incidental component of a funded activity and(b)traditionally used,for example,in office,household, recreational,or education environments;and e.Implementation of a program relating to clandestine methamphetamine laboratory operations,including the identification,seizure,or closure of clandestine methamphetamine laboratories. Complying with NEPA may require the preparation of an Environmental Assessment and/or an Environmental Impact Statement,as directed by BJA. Further,for programs relating to methamphetamine laboratory operations, the preparation of a detailed Mitigation Plan will be required. For more information about Mitigation Plan requirements,please see https://www.bja.gov/Funding/nepa.htmL Please be sure to carefully review the grant conditions on your award document,as it may contain more specific information about environmental compliance. U.S.Department ra justice Office of Justice Programa GRANT MANAGER'S MEMORANDUM,PT.I: PROJECT SUMMARYBureau of Justice Assistance Grant 1, PROJECTNUMBER PAGE 1 OF I 2019-DJ-BX-0640 This project is supported under FY19(BJA-JAG State and JAG Local)Title I of Pub.L.No.90-351(generally codified at 34 U.S.C.10151-10726),including subpart 1 of part E(codified at 34 U.S.C.10151-10158);see also 28 U.S.C.530C(a). 1.STAFF CONTACT(Name&telephone number) 2.PROJECT DIRECTOR(Name,address&telephone number) Antonio Tovar Jason Feaker (202)598-7424 Lieutenant 715 Mulberry Street Waterloo,IA 50703-5783 (319)291-4364 3a.TITLE OF THE PROGRAM 3b.POMS CODE(SEE INSTRUCTIONS BJA FY 19 Edward Byrne Memorial Justice Assistance Grant(JAG)Program-Local Solicitation ON REVERSE) 4.TITLE OF PROJECT FY 19 JAG Program 5.NAME&ADDRESS OF GRANTEE 6.NAME&ADRFSS OF SUBGRANTEE Waterloo City 715 Mulberry Street Waterloo,IA 50703-5783 7.PROGRAM PERIOD 8.BUDGET PERIOD FROM: 10/01/2018 TO: 09/302022 FROM: 10/012018 TO: 09/30/2022 9.AMOUNT OF AWARD 10.DATE OF AWARD $58,997 09232019 11.SECOND YEAR'S BUDGET 12.SECOND YEAR'S BUDGET AMOUNT 13.THIRD YEAR'S BUDGET PERIOD 14,THIRD YEAR'S BUDGET AMOUNT 15.SUMMARY DESCRIPTION OF PROJECT(See instruction on reverse) The Edward Byme Memorial Justice Assistance Grant(JAG)Program allows states and units of local government,including tribes,to support a broad range of activities to prevent and control crime based on their own state and local needs and conditions.Grant foods can be used for state and local initiatives,technical assistance,training,personnel,equipment,supplies,contractual support,and information systems for criminal justice,including for any one or more of the following program areas:1)law enforcement programs;2)prosecution and court programs;3)prevention and education programs;4)corrections and community corrections programs;5)drug treatment and enforcement programs;6)planning,evaluation,and technology improvement programs;and 7)crime victim and witness programs(other than compensation)and 8)mental health programs and related law enforcement and corrections programs. This JAG award will be used to support criminaljustice initiatives that fall under one or more of the allowable program areas above.Funded programs or initiatives may include multijurisdictionel drug and gang task forces,crime prevention and domestic violence programs,courts,corrections,treatment,justice information OJP FORM 40002(REV.438) sharing initiatives,or other progmms aimed at reducing crime and/or enhancing public/officer safety. NCA/NCF i CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name(from page one) Police Grant- Highway Safety Grant Task 42 Department No. project will be budgeted under 11 To be assigned by the Finance Dept. Activity No. project will be budgeted under 01011 1150 Project No. 11 GRT 01011 1160 Subproject No. IDCTK42 (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 59,500.00 59,500.00 3111 Hotel Motel Tax - 3377 EDA Grant 3720 Donations- Restricted - 3873 Reimburse for Services - 3349 Byrne Grant-Tri Co - TOTALS $ 59,500.00 $ $ - $ - $ 59,500.00 EXPENDITURES: 1111 Salaries- Regular $ - 1112 Salaries- Part Time - 1121 FICA - 1122 IPERS 1123 Disability - 1125 Overtime 45,000.00 45,000.00 1346 Travel 1,000.00 1,000.00 1114 Overtime - 1130 Employee Benefits 1302 Outside Agencies - 1563 In Car Video Camera 9,000.00 9,000.00 1573 PBTs - Speed Trailer 4,500.00 4,500.00 TOT LS $ 59,500.00 $ - $ $ - $ 59,500.00 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\cs Project Budget Worksheets 15\Traffic TK48 FY20 pg1 (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Police Grant- Highway Safety Grant Task 42 City Contract No. To be assigned by the Finance Dept. Project Manager Captain Matt McGeough Project No. 11GRT Project Budget Total $ 59,500.00 Subproject No. IDCTK42 1. How will this project be funded? A. Federal Grant Yes ❑ No ❑X CFDA# % Paid by federal grant Grant Name Grant Agreement Number PAP 20-402-MOPT B. State Grant Yes ❑X No ❑ % Paid by state grant 100.00% Grant Name Grant Agreement Number C. City Match Source of Funding % Paid by City D. Other Entities Yes ❑ No ❑x % Paid by other entity 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 ❑ ❑X C. Others, list ❑ ❑X 5. Does this project cover any regular full-time salaries or benefits? ❑ ❑X 6. Include a brief description of the project in the space below: (REQUIRED) This grant will cover directed overtime enforcement, training related travel & in-car video cameras and speed trailer. Page 2 must be attached and signed. K:\shared goodies\forms\cs Project Budget Worksheets 15\Traffic TK48 FY20 pg 2 (Mar 2010) GOVERNOR'S TRAFFIC SAFETY BUREAU IOWA DEPARTMENT OF PUBLIC SAFETY CONTRACT NUMBER: State and Community Highway Safety Grant PAP 20-402-MDPT, Task 42-00-00 ISSUING AGENCY: DPS/Governor's Traffic Safety Bureau PROJECT CONTRACTOR: Waterloo Police Department PROJECT BUDGET: Highway Safety Funded Amount: $59,500.00 AGENCY/LAW/SOURCE: National Highway Traffic Safety Administration (NHTSA) Public Law 114-94, Section 402 DUNS# 07-584-1684 Submit Reimbursement Claims To: Issue Payment To: Brandi Thompson, Program Administrator City of Waterloo Governor's Traffic Safety Bureau 715 Mulberry Street 215 East 7th Street, 3rd Floor Waterloo, Iowa 50703 Des Moines, IA 50319-0248 Submit Reports To: Transmit Contract Information To: Brandi Thompson, Program Administrator Captain Matt McGeough Governor's Traffic Safety Bureau Waterloo Police Department 215 East 7th Street, 3rd Floor 715 Mulberry Street Des Moines, IA 50319-0248 Waterloo, Iowa 50703 515-725-6124, FAX 515-725-6133 318-291-4336, FAX 319-292-4332 The Contractor agrees to furnish and deliver all products and perform all services set forth in the attached Special Conditions for the consideration stated herein. The rights and obligations of the parties to this contract will be subject to and governed by the Special Conditions and the General Conditions. To the extent that any specifications or other conditions which are made a part of this contract by reference or otherwise conflict, the Special Conditions and the General Conditions will control. To the extent that any inconsistency between the Special Conditions and the General Conditions exists, the Special Conditions will control. When approved, the instrument becomes a contract to accomplish the provisions contained within the Fiscal Year 2020 Highway Safety Plan, State and Community Highway Safety Grant 20-402-MDPT, Task 42-00-00, and thereby constitutes an official program with the Governor's Traffic Safety Bureau. This activity meets the requirements of Public Law 114-94 and the requirements set forth in the Governor's Traffic Safety Bureau Procedures Manual, as amended. IN WITNESS THEREOF, the parties hereto have executed this contract on the day and year last specified below. CONTRACTOR: By `, Date: ISSUING AGENCY: 1 ( c� By �. 1 uw Date: Patrick J. Hoye, Bureau Chef Effective Date: 10101/19 Expiration Date: 09/30/20 SPECIAL CONDITIONS Article 1.0 Identification of Parties. This Contract is entered into by and between the Iowa Department of Public Safety/Governor's Traffic Safety Bureau (hereafter referred to as DPSI GTSB) and the Waterloo Police Department (hereinafter referred to as Contractor). Article 2.0. Statement of Purpose. 1 WHEREAS, the Highway Safety Plan is the tool for developing and improving overall 11111 safety capabilities, improving the program management and decision-making capabilities of safety officials; addressing special problems or opportunities; and providing at coordination mechanism for the purpose of reducing traffic-related property damage, personal injury and fatal crashes, and WHEREAS, the DPS/GTSB has been designated to administer the State and Community Highway Safety Programs established under Section 402 of the Fixing America's Surface Transportation Act, as amended, and WHEREAS, the Contractor has the necessary ability to develop and carry out a portion of that Highway Safety Plan, i i THEREFORE,the parties hereto do agree as follows: i Article 3.0 Area Covered. The Contractor will perform all the work and services required under this Contract in connection with and respecting the following areas: City of Waterloo, Iowa and other jurisdiction(s) authorized by a shared enforcement agreement. Article 4.0 Reports and Products. The Contractor will submit the following reports and products: 4,1 A Claim for Reimbursement (HSP-2) form, documentation and, if applicable, an Equipment Accountability Report (HSP-3) form for reimbursement within 90 days of the expense being paid by the Contractor with the exception of the final claim which is due into the DPS/GTSB office no later than November 15, 2020. i 4.2 A cumulative final report due November 1, 2020 covering accomplishments of Statement of Work and Services. 4.3 Any reports and products deemed prudent by the Issuing Agency or Contractor. 4.4 A copy of all audit reports within 30 days of completion of said audit. 4.5 Monthly activity reports due the 15th of the following month on forms provided by the DPS/GTSB that quantify project activities as well as total departmental effort. Article 5.0 Designation of Officials. 5.1 DPS/GTSB -The Governor's Representative for Highway Safety and the Director of the Governor's Traffic Safety Bureau are the only persons authorized to execute and approve any changes in terms, conditions, or amounts specified in this Contract. 5.2 Contractor Designee, Chief Daniel Trelka, is designated to approve in writing, on behalf of the Contractor, the HSP-2 Claim for Reimbursement and any negotiated changes in this Contract. Article 6.0 Key Personnel. The Contractor hereby assigns the duties and responsibilities of project administration to Captain Matt McGeough, representing the Contractor in this agreement. Article 7.0 Time of Performance. The services of the Contractor will commence on or after the effective date stipulated on the signature page and will be completed before or by the expiration date. Article 8.0 Modification of General Conditions. None. Article 9.0 Additional Special Conditions. 9.1 Expense Documentation. The Contractor will document the expenditure of such funds authorized as eligible for reimbursement in accordance with the conditions of this Contract upon submission of the HSP-2 and, for equipment, the HSP-3 as supplied by the DPSiGTSB. 9.2 Policies and Procedures. The Contractor will comply with all policies and procedures contained in the Iowa DPS/GTSB Policies and Procedures Manual, as amended, including appropriate attachments provided by the DPS/GTSB in accordance with Section 402 of the Fixing America's Surface Transportation Act, { and the Iowa Administrative Code, Section 661, Chapter 20. 9.3 Copyrights. The Federal awarding agency reserves a royalty-free, nonexclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for Federal Government purposes: a. The copyright in any work developed under a grant, sub-grant, or contract under a grant or sub-grant; and a b. Any rights of copyright to which a grantee, sub grantee or a contractor ? purchases ownership with grant support. j 9.4 Debarred. Suspended and Ineligible Status. The Contractor certifies that the { Contractor and/or any of its subcontractors have not been debarred, suspended or declared ineligible by any agency of the State of Iowa or as defined in the Federal Acquisition Regulation (FAR) 48 C.F.R. Ch.1 Subpart 9.4. The Contractor will immediately notify the DPS/GTSB if the Contractor is debarred by the State or placed on the Consolidated List of Debarred, Suspended and Ineligible Contractors by a federal entity. 9.5 Eguipment acquired under this agreement for use in highway safety program areas shall be used and kept in operation for highway safety purposes 23 CFR 1300.31. a. Title. Except as provided in paragraphs (e) and (f) of this section, title to equipment acquired under 23 U.S.C. Chapter 4 and Section 1906 will vest upon acquisition in the State or its subrecipient, as appropriate, subject to the conditions in paragraphs (b)through (d) of this section. b. Use. All equipment shall be used for the originally authorized grant purposes for as long as needed for those purposes, as determined by the Regional Administrator, and neither the State nor any of its subrecipients or contractors shall encumber the title or interest while such need exists. c. Management and disposition. Subject to the requirements of paragraphs (b), (d), (e), and (f) of this section, States and their subrecipients and contractors shall manage and dispose of equipment acquired under 23 U.S.C. Chapter 4 and Section 1906 in accordance with State laws and procedures. d. Majorpurchases and dispositions. Equipment with a useful life of more than one year and an acquisition cost.of $5,000 or more shall be subject to the following requirements: 1) Purchases shall receive prior written approval from DPS/GTSB and the NHTSA Regional Administrator. Failure to secure prior approval will result in the contractor being responsible for the cost of the equipment purchase; retroactive approval from NHTSA is not an option. 2) Dispositions shall receive prior written approval from the Regional Administrator unless the equipment has exceeded its useful life as determined under State law and procedures. 3) GTSB considers equipment purchased using federal funds to have a useful life expectancy of approximately 5 years unless documentation is provided to the contrary. e. Right to transfer title. The Regional Administrator may reserve the right to transfer title to equipment acquired under this part to the Federal Government or to a third party when such third party is eligible under Federal statute. Any such transfer shall be subject to the following requirements: 1) The equipment shall be identified in the grant or otherwise made known to the State in writing; 2) The Regional Administrator shall issue disposition instructions within 120 calendar days after the equipment is determined to be no longer needed for highway safety purposes, in the absence of which the State shall follow the applicable procedures in 2 CFR parts 200 and 1201. f. Federally-owned equipment. In the event a State or its subrecipient is provided j federally-owned equipment: 1) Title shall remain vested in the Federal Govemment; 2) Management shall be in accordance with Federal rules and procedures, and an annual inventory listing shall be submitted by the State; 3) The State or its subrecipient shall request disposition instructions from the Regional Administrator when the item is no longer needed for highway safety purposes. 4} DPStGTSB does not allow equipment purchased using federal funds to be sold without written prior approval from GTSB. 9.6 Civil Rights Act. The Contractor will comply with all Federal statutes and implementing regulations relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin (and 49 CFR Part 21); (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§ 1661-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794) and the Americans with Disabilities Act of 1990(42 USC § 12101, et seq.;PL 101-336), j which prohibits discrimination on the basis of disabilities (and 49 CFR Part 27); (d) the Age Discrimination Act of 1975, as amended (42U.S.C. §§ 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970(P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse of alcoholism; (g) §§ 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§ 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title Vlll of the Civil Rights Act of 1968 (42 U.S.C. §§ 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; The Civil Rights Restoration Act of 1987, which provides that any portion of a state or local entity receiving federal funds will obligate all programs or activities of that entity to comply with these civil rights laws; and, (k)the requirements of any other nondiscrimination statute(s) which may apply. 9.7 Buy America Act. The Contractor will comply with the provisions of the Buy America Act (23 U.S.C_ 313) which contains the following requirements: Only steel, iron and manufactured products produced in the United States may be purchased with Federal funds unless the Secretary of Transportation determines that such domestic purchases would be inconsistent with the public interest; that such materials are not reasonably available and of a satisfactory quality; or that inclusion of domestic materials will increase the cost of the overall project contract by more than 25 percent. Clear justification for the purchase of non-domestic items must be in the form of a waiver request submitted to and approved by the Secretary of Transportation. 9.8 Political Activity (Hatch Act). The Contractor will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328)which limit the political activities of employees whose principal employment activities are funded { in whole or in part with Federal funds. As such, the Contractor will not subcontract with any agency to conduct DPS/GTSB contract-related activities. 9.9 Lobbying Restrictions. None of the funds under this program will be used for any activity specifically designed to urge or influence a State or local legislator to favor or oppose the adoption of any specific legislative proposal pending before any State or local legislative body. Such activities include both direct and indirect (e.g., "grassroots") lobbying activities, with one exception. This does not preclude a State official whose salary is supported with NHTSA funds from engaging in direct communications with State or local legislative officials, in accordance with customary State practice, even if such communications urge legislative officials to favor or oppose the adoption of a specific pending legislative proposal. 9.10 Federal Lobbying. The undersigned certifies, to the best of his or her knowledge and belief, that: a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence and officer or employee of any agency, a Member of Congress, an officer of employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the 1 making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, of modification of any Federal contract, grant, loan, or cooperative agreement; b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer of employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submlt Standard Form-LLL, °Disclosure Form to Report Lobbying," in accordance with its instructions; c. The undersigned shall require that the language of this certification be included in the award documents for all sub-award at all tiers) including subcontracts, subgrants, and contracts under grant, loans, and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. 9.11 Prohibition on Using Grant Funds to Check for Helmet Usage. The Contractor will not use 23 U.S.C. Chapter 4 grant funds for programs to check helmet usage or to create checkpoints that specifically target motorcyclists. Article 10.0 Conditions of Payment 10.1 Maximum Payments. It is expressly understood and agreed the maximum amount j to be paid to the Contractor by the DPS/GTSB for any item of work or service will be the amount specked under Article 12.0 subject to Article 11.0 herein. It is further understood and agreed the total of all payments to the Contractor by the DPS/GTSB for all work and services required under this Contract will not exceed $59,500.00 unless modified by written amendment of this Contract as provided in Section 1.0 of the General Conditions. 10.2 HSP-2 Form for Payment, All payments to the Contractor will be subject to the DPS/GTSB's receipt of an HSP-2 and documentation. If claiming equipment, an HSP-3 must also be submitted. The Contractor must perform services and receive merchandise between the effective dates of the contract and pay for expenses prior to submitting the claim for reimbursement. An HSP-2 will be submitted on a form provided by the DPS/GTSB. No payments will be made if required reports are more than two months past due unless approved by the DPS/GTSB Director. 10.3 Recent of Federal Funds. a. All payments hereunder will be subject to the receipt of federal funds by the DPS/GTSB. The termination, reduction, or delay of federal funds to the DPS/GTSB may be reflected by a corresponding modification to the conditions of this Contract. i j b. Notwithstanding any other provisions of this Contract, if funds anticipated for the continued fulfillment of this Contract are at any time not forthcoming or { insufficient, either through failure of the State of Iowa to appropriate funds, discontinuance or material alteration of the program for which funds were ! provided, the DPS/GTSB will have the right to terminate this Contract without penalty by giving not less than thirty (30) days written notice documenting the lack of funding, discontinuance or program alteration. Unless otherwise agreed to by the parties, the Contract will become null and void on the last day of the fiscal year for which appropriations were received, except that if an appropriation to cover cost of this Contract becomes available within sixty (60) i days subsequent to termination under this clause, the DPS/GTSB agrees to re-enter a Contract with the terminated Contractor under the same provisions, terms and conditions as the original Contract. c. In the event of termination of this Contract due to non-appropriation, the exclusive, sole and complete remedy of Contractor will be payment for services rendered prior to termination. 10.4 Non-Performance Termination. If, through any cause, the Contractor shall fail to fulfill in a timely and proper manner its obligation under this contract, or if the Contractor shall violate any of the agreements or stipulations of this contract, the DPS/GTSB shall thereupon have the right to terminate this contract and withhold further payment of any kind by giving written notice to the Contractor of such termination and specifying the effective date thereof, at least thirty(30)days before such date. The DPS/GTSB shall be the sole arbitrator of whether the Contractor or its subcontractor is performing its work in a proper manner with reference to the quality of work performed by the Contractor or its subcontractor under the provisions of this contract. The Contractor and the DPS/GTSB further agree that this contract may be terminated by either party by giving written notice of such termination and specifying the effective date thereof, at least thirty(30)days before such date. 10.5 The Contractor will arrange for a single audit to be performed in accordance with 2 CFR 200 when, as a non-federal entity, the Contractor receives $750,000.00 or more in federal funds. The federal agency, National Highway Traffic Safety Administration, Department of Transportation, passes funds through the j Department of Public Safety, Governor's Traffic Safety Bureau. The Catalog of Federal Domestic Assistance (CFDA) number 20.600 applies to State & Community Highway Safety Grants. A copy of the audit report will be submitted to the DPS/GTSB within thirty (30) days after the completion of the audit. Article 11.0 Statement of Work and Services. The Contractor will perform in a satisfactory and proper manner, as determined by the DPS/GTSB the following work and services: 11.1 The Contract will be monitored by the National Highway Traffic Safety Administration (NHTSA) and the DPS/GTSB. All records and documents pertaining to the project are subject to auditing and evaluation by those agencies or their designees. i 11.2 The Contractor will absorb all costs not contained in this contract. 11.3 The project will be evaluated on all items contained in the Statement of Work and Services and the Budget. 11.4 There will be no change in the Statement of Work and Services or Budget without prior written approval of the DPS/GTSB. 11.5 The Contractor will comply with all requirements contained within the Policies and Procedures Manual of the DPS/GTSB. 11.6 All documents relative to fiscal claims will be maintained in the Contractor's office and will be available for review during regular office hours. 11.7 Staffing plan: ; a. Officers to conduct 900 hours of directed overtime enforcement. 11.8 Contract activities: I a. Conduct 900 overtime hours of high visibility traffic enforcement with a maximum effort directed at occupant restraint, impaired driving and excessive speed violations during times and at locations identified as high-risk, including at least two special traffic enforcement projects, one of which will be conducted at night. b. Conduct at least twelve public information/education activities aimed at improving driver safety behaviors. c. Conduct and publicize results of two observational occupant protection surveys during March and August. d. Purchase one speed trailer and utilize for speed enforcement. e. Purchase two in-car video cameras and utilize for impaired driving-related traffic enforcement. f. Participate in traffic safety training with prior DPS/GTSB approval and submit a trip report within two weeks following any out-of-state travel. All travel reimbursement will be made at State of Iowa approved rates. 11.9 Key dates: a. By November 15, 2019 and the 15th of each subsequent month through October 15, 2020, submit a monthly report as specified in Article 4.5. b. By July 31, 2020, receive one speed trailer and two in-car video cameras as specified in Article 11.8(d) and (e). c. By August 10, 2020, submit claim for expenses incurred through June 30, 2020. d. By November 1, 2020, submit an annual report as specified in Article 4.2. e. By November 15, 2020, submit final claim for reimbursement. 11.10 Objective/performance measures: a. At least 900 hours of overtime enforcement conducted and all overtime and agency traffic enforcement contacts reported showing a sustained effort based on past performance. b. Twelve public information activities conducted and reported. c. Two occupant protection surveys completed and results publicized. d. One speed trailer and two in-car video cameras purchased and utilized. e. At least one officer attended DPS/GTSB approved training and a trip report submitted if required. i i Article 12.0 Project Budget Highway Safety Funds Personal Services Directed overtime enforcement $ 45,000.00 Training-related travel $ 1,000.00 Equipment One speed trailer and two in-car video cameras $ 13,500.00 TOTAL $ 59,500.00 CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee L O/-7/ Approval Date 1 Project Name (from page one) Bullet Proof Vests Department No. project will be budgeted under 11 To be assigned by the Finance Dept. Activity No. project will be budgeted under 1150 Project No. 11 GRT Subproject No. VST10 (Each column should only include amounts by fund) Fund: Fund: Fund: Fund: 1150 1160 Total REVENUES: BOND FUND 3000 Cash on Hand $ 3112 Local Option Sales Tax - 3350 Federal Grant 7,661.71 7,661.71 15,323.42 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 _ 3873 Reimburse for services Funded with property tax _ 3370-School Share Liaison _ TOTALS $ 7,661.71 $ - $ $ 7,661.71 $ 15,323.42 EXPENDITURES: 1111 Salaries -Regular $ _ 1112 Salaries - Part Time _ 1121 FICA _ 11221PERS _ 1123 Disability 1131 Health 1130 Employee Benefits 1303 Meeting/Workshops 1114 Overtime _ 1579 Wearing Apparel 7,661.71 7,661.71 2128 Guns/Body Armor 7,661.71 7,661.71 TOTALS $ 7,661.71 $ - $ $ 7,661.71 $ 15,323.42 (Signature De t. H ad) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\cs Project Budget Worksheets 14\VEST10 1st pg (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Bullet Proof Vests City Contract No. To be assigned by the Finance Dept. Project Manager Director Trelka Project No. 11 GRT Project Budget Total $ 15,323.42 Subproject No. VST10 1. How will this project be funded? A. Federal Grant Yes = No = CFDA# 16.607 % Paid by federal grant 50.00% Grant Name Grant Agreement Number B. State Grant Yes 0 No OX % Paid by state grant Grant Name Grant Agreement Number C. City Match Source of Funding Bond Fund % Paid by City 50.00% D. Other Entities Yes = No 0 % Paid by other entity Name Done None 2. Attach copies of any grant agreements that will fund the project(REQUIRED) F Yes No 3. Does the project include the purchase of right of way or other real property? ❑ FX If yes, will real property purchases be reimbursable under the grant? ❑ FX If yes, have you attached authorization to purchase real property to this document? ❑ FX 4. Will this project include any non-participating expenses, such as: A. Stormwater permit fees ❑ ❑X B. Publication, or printing costs 0 7X C. Others, list ❑ FX 5. Does this project cover any regular full-time salaries or benefits? ❑ FX 6. Include a brief description of the project in the space below: (REQUIRED) The Waterloo Police Department will continue to use these funds to purchase bulletproof vests Page 2 must be attached and signed. K:lshared goodies%forms\cs Project Budget Worksheets 14\VEST10 (Mar 2010) Dear BVP applicant, The Bureau of Justice Assistance(BJA) is pleased to inform you that your agency will receive an award under the Fiscal Year(FY)2019 Bulletproof Vest Partnership (BVP) solicitation. These funds have been posted to your account in the BVP System. A complete list of FY 2019 BVP awards is available at: htt s:/U /oip.gov/bypbasi/. The FY 2019 award may be used for National Institute of Justice(NIJ) compliant armored vests which were ordered after April 1, 2019. The deadline to request payments from the FY 2019 award is August 31, 2021, or until all available funds have been requested. Awards will not be extended past that date, and any unused funds will be forfeited. Please see the following websites for a list of NIJ compliant vests: Ballistic Vests: https://nij.gov/topics/technology/body-armorba es/compliant-ballistic-armor aspx Stab Resistant Vests: https://nii.gov/topics/technology/body-armor/pages/compliant-stab-armor gyx As a reminder, all jurisdictions that applied for FY 2019 BVP funding certified that a mandatory wear policy was in place for their jurisdiction. BJA will be conducting reviews of the mandatory wear policies as funds are requested from the BVP System. For more information on the BVP mandatory wear policy,please see the BVP Frequently Asked Questions document: https://oip.gov/bypbasi/docs/FAQsBVPMandatooLWearPoligy.pdf Finally,please visit the following page for checklists and guides for each step of the BVP process: https://ojp.govibypbasi/bvl2]2rojzrainresources.htm. For questions regarding the BVP Program or your award, please do not hesitate to contact the BVP Help Desk at vests ,usdoj.gov or 1-877-758-3787. Thank you BVP Program Support Team Bureau of Justice Assistance This email was sent to mohlisdaa,waterloopolice.com using GovDelivery Communications Cloud on behalf of Office of Justice Programs • 810 Seventh Street,NW • Washington,DC 20531 • 202-514-2000 2 IA OELWEIN CITY $1,670.88 IA OSCEOLA COUNTY $547.70 IA OSKALOOSA CITY $2,994.51 IA OTTUMWA CITY $3,754.04 IA PALO ALTO COUNTY $2,168.23 IA PAULLINA CITY $488.66 IA PELLA CITY $792.04 IA PERRY CITY $897.07 IA PLYMOUTH COUNTY $3,380.81 IA POLK CITY $1,801.07 IA POSTVI LLE CITY $1,907.84 IA POTTAWATTAMIE COUNTY $9,980.39 IA SHELDON CITY $2,622.95 IA SIGOURNEY CITY $307.71 IA SIOUX CITY $8,549.66 IA STORY COUNTY $4,550.85 IA TAMA COUNTY $1,410.48 IA URBANDALE CITY $2,050.62 IA WARREN COUNTY $624.95 IA WASHINGTON CITY $391.02 IA WATERLOO CITY $7,661.71 IA WAVERLY CITY $3,923.04 IA WEST DES MOINES CITY $10,056.05 IA WINDSOR HEIGHTS CITY $633.63 Totals for IA(82 Jurisdictions): $216,341.98 ID ADAMS COUNTY $6,858.13 ID BANNOCK COUNTY $12,781.95 ID BINGHAM COUNTY $17,879.20 ID BLACKFOOT CITY $4,338.36 ID BONNER COUNTY $2,340.16 ID BUHL CITY $2,249.24 ID CARIBOU COUNTY $2,495.46 ID CLEARWATER COUNTY $5,985.20 ID COEUR D ALENE CITY $4,684.52 ID FREMONT COUNTY $5,179.27 ID FRUITLAND CITY $1,636.16 ID GARDEN CITY $2,430.36 ID GOODING CITY $2,310.36 ID IDAHO COUNTY $1,315.00 ID IDAHO FALLS CITY $6,943.89 ID JEFFERSON COUNTY $2,009.39 ID LATAH COUNTY $2,083.17 ID MADISON COUNTY $1,041.59 ID MCCALL CITY $1,301.98 ID MOSCOW CITY $4,556.93 ID I MOUNTAIN HOME CITY $6,455.64 ID I NAMPA CITY $4,383.33 Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY Finance Cjommittee 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) INCREASE EXPENDITURES(DECREASE REVENUE) Fund Dept Activity Acct# Acct Name Proj Code Amount Fund Dept Activity Acct# Acct Name Proj Code Amount 10 11 1150 3873 Reimb for Services 11 GRT.ODEF 700.00 010 11 1150 1114 Overtime 700.00 10 11 1150 3873 Reimb for Services 11GRT.ODEF 2,000.00 10 11 1150 1114 Overtime 2,000.00 TOTAL $2,700.00 TOTAL $2,700.00 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): a:::� (Signature Dept. Head or Designee) Date (Signature ance Dept. Review) Date Date Posted(Finance Dept.) K:lusers\shared goodieslforms\cs budget amend req form(Apr 2003) 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 September 5, 2019 To: Major Joe Leibold From: James Delworth , 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$700.00. This obligation gives your agency a total amount funded of$13,200.00 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 Funding Change 07/23/2019 $ 3,000.00 $ 12,500.00 Funding Change 09/04/2019 $ 700.00 v� $ 13,200.00 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. __ _ _ _ _ r. _.. _. .. .. .. r .. :: - 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 September 19, 2019 To: Major Joe Leibold From: James DeIw0Q 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$15,200.00 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 Funding Change 07/23/2019 $ 3,000.00 $ 12,500.00 Funding Change 09/04/2019 $ 700.00 $ 13,200.00 Funding Change 09/19/2019 $ 2,000.00 ✓ $ 15,200.00 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. _ , .. .rt; ! '.; .�; _