HomeMy WebLinkAboutApproved Documents - 11/12/2019 FINANCE DEPT. STAFF ONLY
LINE ITEM USED O(0 /A
TRAVEL REQUEST FYBUDGETED Df
CITY OF WATERLOO EXPENDED YTD 7y
THIS REQUEST CF3o
LEFT AFTER THIS
REQUEST �t�32y
DATE
Original-Clerk/Finance Co - Department
NAME(S) AND POSITION(S): DATE:
Pat Treloar, Fire Chief November 5, 2019
Dave Jensson, Lieutenant
NAME OF CLASS/MEETING: DESTINATION: Sioux City, IA
Salamander"Intelligent Accountability"Solutions
Training. DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
November 12, 2019 November 13, 2019 November 13, 2019
PURPOSE OF TRAVEL/TRAINING:
The training will cover the "Salamander LIVE" solution (funded by the Iowa Homeland Security and Emergency
Mgmt) for standardized personnel credentialing and resource (equipment) typing. This training will also focus on
the "incident/event" tracking aspects of Salamander used to account for personnel, volunteers, and equipment.
Patient tracking and shelter management will also be discussed. Topics will also include the Salamander "02-
TRACK" APP (for smartphones and tablets) to conduct resource accountability. The Salamander "rapidTAG"
incident specific badging system. The City of Waterloo is going to incorporate this system. The training will
provide us credentialing to use the system
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-12-1400-1346
$330.00 LODGING TAXI X GRANT REIMBURSABLE
$50.00 MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
$50.00 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $430.00 TOTAL: $ 215.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESS ND BENEFICIAL TO THE
CITY OF W� ET RLOO
DEPARTMENT HEAD MAYOR
Jou 5 -- �
DATE DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED Q(ti 37 of/,Yp /3G�
TRAVEL REQUEST F)'2D2,()BU1)GETED
CITY OF WATERLOO EXPENDED YTD 36
THIS REQUEST
LEFT AFTER THIS .�
REQUEST
DATE
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Tom Klein, golf superintendent 10/30/2019
NAME OF CLASS/MEETING: DESTINATION: Altoona, Iowa
Iowa Turfgrass Conference and Tradeshow
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
January 7, 2020 January 9, 2020 January 7— 9, 2020
PURPOSE OF TRAVEL/TRAINING:
To keep up on new equipment and products. To attend Pesticide Applicator class to maintain license as required in this
job position. Early bird registration before 12/1/19 saves$20.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-37-4120-1346
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
205.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 205.00 TOTAL: $ 205.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
I1 .LQ/yb4 /1Yi[i
ARTMENT H A MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
(10 2020 TURFGRASS CONFERENCE & TRADE SHOW
1UN 1URf6RASS JANUARY 7-9,2020 I THE MEADOWS EVENT CENTER I ALTOONA,IOWA
OCONTACT INFORMATION Please print all information clearly and exactly as you wish it to appear on your name badge.
Name: 5L� J
T//e'e'/Vr / Email: 4-4h/7C
h/-/t one, 0 e o
q
Company/Organization: d�V Fii/ /• AIAI 'Iemz- fl, C. Phone: 31 � �j/-
Address: //D/
® REGISTRATION Please choose your membership type, conference package, and any additional options.
Regular
MEMBERSHIP J�Iowa GCSA 13 ISTMA ❑ IPLCA Early Bird Registration Onsite
r Before After &After Your
Students 12/1/19 12/1/19 1/1/20 Selections
(� Full Conference Registration incudes education,lunches,trade show,and PAT $60 $205 $225 $250 $
Nf
to ❑ Tues&Wed Registration includes education,lunch,and trade show $50 $195 $195 $215 $
tV ❑ Wed&Thurs Registration includes education,lunches,trade show,and PAT $40 $175 $175 $195 $
❑ Tuesday Registration includes education,trade show,and hors d'oeuvres $20 $120 $120 $135 $
*1 ' 13Wednesday Registration includes education,lunch,trade show(Does not include $30 $150 $150 $165 $
Awards&Scholarship Steak Dinner)
r ❑ Thursday Registration includes education,lunch,and PAT $20 $90 $90 $105 $
❑ Pesticide Applicator Training(PAT)ONLY $50 $50 $50 $55 $
❑ ISTMA Membership Social complimentary for ISTMA members, Tuesday,7:00 PM $0 $0 $0 $0 $
CL ❑ Awards&Scholarship Steak Dinner Wednesday,6:30 PM $25 $25 $25 $25 $
❑ Spouse Registration complimentary Trade Show Only $0 $0 $0 $0 $
Name:
L",-:` ,_ There is a cost to attend this year's Awards and Scholarship %eek Dinner Total $
® SESSION SELECTION Please choose the education session you anticipate spending the most amount of time in,
Golf Course Session ❑ Lawn Care&Landscape Session ❑ Sports Turf Session
® METHOD OF PAYMENT ❑ Check Enclosed OR ❑ visa ❑ Mastercard ❑ American Express
Card Number: Exp. Date: CW#:
Name on Card: Signature:
Iowa Turfgrass Institute 1605 North Ankeny Boulevard, Suite 210,Ankeny, Iowa 50023
Phone:515.635.0306 Fax:515.635.0307 1 Email:randy@iowaturfgrass.org
FINANCE DEPT. STAFF ONLY
LINE ITEM USED p( ,7A _ 6706 13q0
TRAVEL REQUEST FYZ�v BUDGETED l 000
le-
CITY OF WATERLOO EXPENDED YTD a25 y8
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATEjjd
Original - Clerk/Finance Co - Department
NAME(S) AND POSITION(S): DATE:
Bob Ball, Chief Building Inspector 10/30/2019
NAME OF CLASS/ MEETING: DESTINATION DEPARTURE POINT
Wisconsin Commercial Building Code Refresher IF NOT WATERLOO Madison, WI
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
2/23/2020 2/26/2020 2/24/2020 thru 2/26/2020
PURPOSE OF TRAVEL/TRAINING
Required Certification
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
BUDGET LINE ITEM: 010-22-5100-1346
400.00 LODGING TAXI X GRANT REIMBURSABLE
140.00 MEALS PARKING YES NO
695.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
60.00 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 1,295.00 TOTAL: $ 1,295.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE 1 APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
��'l�vb 6TG4�
PART ENT HEAD MAYOR
�L
Lu- 3C,-IG I'--/(I
ELATEared Goodies\Forms\Travel Request Form January 2010 DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED
TRAVEL REQUEST FY���BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST Q
LEFT AFTER THIS
REQUEST g/
DATE
Original-Clerk/Finance Co - Department
NAME(S) AND POSITION(S): DATE:
Quentin Hart, Mayor 11/6/19
NAME OF CLASS/MEETING: DESTINATION
National League of Cities, City Summit San Antonio, TX
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
11/20/19 11/23/19 11/20/19-11/23/19
PURPOSE OF TRAVEL/TRAINING
National League of Cities
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
x AIRFARE DEPARTING FROM: Waterloo, IA
ESTIMATE OF COST: BUDGET LINE ITEM: 010-01-8200-1345
$850 LODGING $150 TAXI X GRANT REIMBURSABLE
$280 MEALS PARKING YES NO
Pd by grant REGISTRATION Pd by grant AIRFARE x REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 1280.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD MAYOR
P,AAared Goodies\Forms\Travel Request Form January 2010 DATE
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 Airport Department to expend
$ 1,250.00 plus est. shipping costs of $ N/A to pay for or purchase
Staff is requesting approval to pay for approximately one-third of the attached cost due to
the additional cost of Benton's staff to make waterline utility connections for a hangar proj.
This purchase or expenditure is being made because:
Unfortunately, the water utility line that was proposed to be on a set of existing record
drawings, were actually not where they were suppose to be. Requiring additional labor ->
Vendor selected for this purchase: Benton's Sand & Gravel, Inc. of Cedar Falls, Iowa
FX Bids or written quotes were taken on this purchase, as follows:
and extensive "hand digging" to find the waterline, resulting in additional costs for this
particular part of the site prep for the hangar construction project. As land owner, I
verbally agreed to pay for the additional 1/3 cost of the work up to a NTE of $1,250.
;.
❑ Bids or quotes were not taken on this purchase because: ` y 1411
NOTE: The balance of $87,034 includes the reduction of the $10,580 from the B&G
account for the recent expenditure for the paving of the streets and parking lot project.
(Not sure of any other recent activity to this account)
Prior Committee Actions (Dates): N/A
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund Road Use Tax F—I Sewer ❑ Sanitation
❑ Bonds Federal/other grants [X Other(specify) Buildings & Grounds Acct
This expenditure is to be coded to the following budget line-item:
010 - 29 - 7700 - 1371 B & G
(Fund - Department-Activity-Account Number) (Project Code)
in whicLbudgeted amount is $ 114,005.00
a d thble balance is $ 87A34-.AA- 8Re p
(Signature Dept. r Designee) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\11 06 2019 PreAuth for Benton Water Utility Line Connection(Mar 2010)
BENTON'S SAND & GRAVEL, INC
905 CENTER STREET IINVOICE
CEDAR FALLS,1A 50613 Invoice Number: 48918
UNITEDSTATES invoice Date: Nov 5;2019
Page: 1
Voice: 319/266-2621
Fax: 3191266-5926
lin to: Ship to:
WATERLOO REGIONAL AIRPORT
2790 LIVINGSTON LANE
WATERLOO, IA 50703
Customer 1D Customer PO 1 Payment Terms
WATAIR
Net 30 Days
Sales;Rep iD... ShPrn3 Method Ship Date Due bate
_.
1215/19
Quantity item. it Description' Unit Price Amount
_. x
- 1.00 FURNISH AND PLACE 2"COPPER _� - 3,700 00 3,700.00
WATER SERVICE FOR LIVINGTON'S
SHOP
l
Subtotal 3.700.00
Sales Tax
Tdtal Invoice Amount 3,700.00
Check/Credit Memo No: Payment/Credit Applied
- `
TOTALw3,700.00
Overdua innate.&arV subject to late charges.
City Clerk Use Only
Finance Committee /
Approval Date �+ f 2,b
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
$ 15,159.11 plus est. shipping costs of $ 75.00 to pay for or purchase
This purchase or expenditure is being made because:
Installation of camera system for the Commercial Street Parking Ramp
Vendor selected for this purchase: RC Systems Radio Communications
❑ Bids or written quotes were taken on this purchase, as follows:
❑X Bids or quotes were not taken on this purchase because:
RC Systems has been previous vendor for the installation of cameras at the
parking ramps
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
Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
417-22-7960-2180
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ avv,00
and the current available balance is $ 7o?,991a gip.
Respectfully submitted,
(Sig ature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared good ies\fo rms\Expenditu re Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Fire Department to expend
$ 119.27 / Mo plus est. shipping costs of $ to pay for or purchase
60 month lease of Ricoh IMC3500 color copier. ($119.27/mo lease with 2500 black &
white copies included plus an additional $0.0057 per B&W and $0.036 per color copy)
This purchase or expenditure is being made because:
The current copier (approximately 6 years old) which was leased (lease has exprired)
and is down for repair frequently is costing an approximate $183 per month.
Vendor selected for this purchase: Ricoh, USA.
❑ Bids or written quotes were taken on this purchase, as follows:
QX Bids or quotes were not taken on this purchase because:
This cost is negotiated on State of Iowa contract with Ricoh USA.
Based on current volumes this will save the department about 23$ per month
and provide them with a new machine.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
FX General Fund ❑ Road Use Tax EI Sewer ❑ Sanitation
0 Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-12-1415-1376
(Fund - Department-Activity-Account Number) (Project Code)
q=
in which the budgeted amount is $ aee6-9A- 4UGo
and the current available balance is $ 2-,4#9-18
Respectfully submitted,
(Signature gept. Head or Designee) Date (Sig atuh re Finance Dept. Review) Date
KAshared goodies\forms\Pre-Auth Flre Station 1 CopierAs(Mar 2010)
City Clerk Use Only
Finance Committee 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
purchase or expenditure submitted by the Garage Department to expend
$ 9,700.00 plus est. shipping costs of $ 450.00 to pay for or purchase
40 - 4T-2233 Cutting Edge and 40 - 135-9692 Edge-Cutting
This purchase or expenditure is being made because:
Blades for snow trucks and equipment
(local vendor with blades in stock offering 35% discount)
Vendor selected for this purchase: Altorfer, Inc.
❑X Bids or written quotes were taken on this purchase, as follows:
Altorfer, Inc. Cedar Falls, IA $9,700.00
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑X General Fund ❑ Road Use Tax ❑ Sewer F Sanitation
FBonds ❑ Federal/other grants F Other (specify)
This expenditure is to be coded to the following budget line-item:
010-18-7955-1571
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 240,000.00
and the current available balance is $ 120;433_99 //6-16-2 &3
Respectfully submitted,
' j
Signature Dept. H ad or Designee) IDate (Signature Finance Dept. Review) Date
KAshared good ies\forms\2019-November-Expenditure Pre-Authorization-Garage(street)-Altorfer-Cutting Edges-$9,700.00-010-18-7955-
1571.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date ' 7i
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
$ 4,516.00 plus est. shipping costs of $ 150.00 to pay for or purchase
One 6' Wide V-Blade Western snow plow for John Deere Gator.
This purchase or expenditure is being made because:
This equipment will better allow us to address increasing snow removal demands.
Blade will be installed on a Gator already owned by the City.
Vendor selected for this purchase: C&C Welding Inc.
❑X Bids or written quotes were taken on this purchase, as follows:
C&C Welding, Waterloo, IA $4,666.00
P&K Midwest, Waterloo, IA $ 4,850.00
❑ 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:
EI General Fund EI Road Use Tax F1 Sewer ❑ Sanitation
FX Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
419-37-4110-2113
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 50,000.00 ✓
and the current available balance is $ 50,000.00
Respectfulu�submitted,
(Signature Dept. He oj� esignee) Date ( ig ature Finance Dept. Review) date
K:\shared good ies\forms\Pr -Auth-Gator V Blade.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the MIS Department to expend
$ 8,090.25 plus est. shipping costs of $ to pay for or purchase
Rapid Recovery backup and replication maintenance renewal.
This purchase or expenditure is being made because:
Rapid Recovery is the software/hardware that we use for backup and disaster recovery
of all City servers
Vendor selected for this purchase: DLT Solutions LLC
❑ Bids or written quotes were taken on this purchase, as follows:
X❑ Bids or quotes were not taken on this purchase because:
DLT handles all maintenance renewals for Rapid Recovery application and
appliances
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑X General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation
FI Bonds EI Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-01-8220-1520
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 38,070.00
and the current available balance is $ 29, 6926 �✓
Respectfully su mitted,
l
(Signature 0 pt. Head or Designee) Date (Signature Finance Dept. Review) Date
c
K:\shared good ies\forms\Pre-Auth Rapid Recovery Maintenance Renewal.xls(Mar 2010)
Quote: 4794088
Reference: 1466483
TPrice Quotation Date: 10/31/2019
Expires: 11/15/2019
To: Chris Youngblut From Channing Brosier
CITY OF WATERLOO IA DLT Solutions, LLC
715 Mulberry St 2411 Dulles Corner Park
WATERLOO, IA 50703 Suite 800
Herndon,VA 20171
Phone (319)291-4522 Phone: (703)773-9219
Fax Fax: (866)708-7064
Email; chris.youngblut@waterloo-ia.org Email: channing.brosier@dlt.com
# DLT Part No. MFG Part No. Contract Qty Unit Price Ext, Price
1 1020-12972 ADD-APP-PS-247 OM 1 $4,061.89 $4,061.89
RAPID RECOVERY BACKUP AND REPLICATION W/DL4000 SERIES APPLIANCE PER 20TB BACK
END DATA CAPACITY 24X7 MAINTENANCE RENEWAL
I
POP: 11/15/2019 through 11/15/2020
2 1020-15654 AAJ-APP-CS-247-4HR OM 1 $2,014.18 $2,014.18'
DL4300 0510 64GB APPLIANCE WAHR 24X7 HARDWARE WARRANTY
PoP: 11/15/2019 through 11/15/2020
3 1020-15654 AAJ-APP-CS-247-4HR OM 1 $2,014.18 $2,014.18
DL4300 0510 64GB APPLIANCE WAHR 24X7 HARDWARE WARRANTY
CQ 1-5QS6N6M,Inv, PO
PoP: 11/15/2019 through 11/15/2020
Total $8,090.25
Maintenance renewal fees are non-refundable.
INTERESTED IN MULTI-YEAR DISCOUNTS? ASK YOUR DLT SALES REP!
Additional information regarding support can be found at
https.//support.quest.com/essentials/benefits-of-renewing-support
DLT CONFIDENTIAL Page 1 of 2
Quote: 4794088
Reference: 1466483
�'OLT Price Quotation Date: 10/31/2019
Expires: 11/15/2019
Contract Number: OPEN MARKET
DUNS#: 78-646-8199
Federal ID#: 54-1599882
CAGE Code: OSOH9
FOB: Destination
Terms: Net 30 (On Approved Credit)
DLT accepts VISA/MC/AMEX
DLT's standard Terms & Conditions apply
THIS QUOTE IS SUBJECT TO THE TERMS AND CONDITIONS AT
http://www.dit.com/products/client-commercial-licenses THAT APPLY TO THE PRODUCTS AND/OR SERVICES
INCLUDED IN THIS QUOTATION. CUSTOMER IS DIRECTED TO INCORPORATE (BY REFERENCE)THIS
QUOTE IN ANY RESULTING TASK/DELIVERY ORDER OR AWARD. THE TERMS OF THE
AFOREMENTIONED CONTRACT ARE THE ONLY CONTROLLING TERMS AND ANY TERMS OR
CONDITIONS CONTAINED IN AN ORDER,AWARD OR OTHER INSTRUMENT OF BUYER, WHICH ARE IN
ADDITION TO OR INCONSISTENT WITH ANY OF THE TERMS OR CONDITIONS CONTAINED IN THOSE
REFERENCED HEREIN, SHALL NOT BE BINDING ON DLT OR ITS MANUFACTURERS AND SHALL NOT
APPLY UNLESS SPECIFICALLY AGREED TO IN WRITING BY DLT.
PLEASE REMIT ACK DLT Solutions,LLC .OR- Mail: DLT Solutions,LLC
PAYMENT TO: Bank of America P.O.Box 743359
ABA#111000012 Atlanta,GA 30374-3359
Acct#4451063799
Customer orders subject to applicable sales tax.
Documentation to be submitted to validate Invoice for payment:
a. Authorized Services shall be invoiced with a corresponding time report for the period of performance identifying names,
days, and hours worked.
b. Authorized reimbursable expenses shall be invoiced with a detailed expense report, documented by copies of supporting
receipts.
c. Authorized Education or Training shall be invoiced with a Report identifying date and name of class completed, and where
applicable the name of attendees.
DLT CONFIDENTIAL Page 2 of 2
City Clerk Use Only
Finance Committee
It
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the MIS Department to expend
$ 4,979.53 plus est. shipping costs of $ to pay for or purchase
Geographic Information Systems (GIS) strategic plan assessment and update.
This purchase or expenditure is being made because:
In 2017 Pro-West GIS of Walker, MN completed a city wide GIS assessment and
strategic plan. This is an assessment and update to that plan.
Vendor selected for this purchase: PRO-WEST and Associates
❑ Bids or written quotes were taken on this purchase, as follows:
FX Bids or quotes were not taken on this purchase because:
PRO-West did the original assessment and has worked closely with City staff
to implement many GIS solutions in the past 2 years.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
QX General Fund ❑ Road Use Tax ❑ Sewer EI Sanitation
❑ Bonds ❑ Federal/other grants 0 Other(specify)
This expenditure is to be coded to the following budget line-item:
010-01-8220-1319
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 31,061.00 ✓
and the current available balance is $ 27,867.85
Respectfully sAibmitted,
(Signature Dept, Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth GIS Strategic Plan Assessment and Update.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date `6
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 14,792.05 plus est. shipping costs of $ 290.55 to pay for or purchase
a Capture BT fuming chamber for the Crime Lab for filtering the air during chemical
processing.
This purchase or expenditure is being made because:
the current system has failed and a replacement system is required to clean the air
during chemical processing done by the crime lab personnel.
Vendor selected for this purchase: Arrowhead Scientific, Inc.
Q Bids or written quotes were taken on this purchase, as follows:
Arrowhead Scientific, Inc. $15,082.60
Labconco, $15,258.00
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:
EI General Fund El Road Use Tax EI Sewer F1 Sanitation
EI Bonds E] Federal/other grants El Other(specify) WPD Forfeiture
This expenditure is to be coded to the following budget line-item:
010-11-1150-1512 11TRIWPDF
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ Z/U, 000
and the current available balance is $ ,27,641 `
Respectfully submitted,
(Sign ure D pt. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xlsx(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date A 2J1�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 Police Department to expend
$ 6,397.00 plus est. shipping costs of $ to pay for or purchase
renewal of SNS (VMWare) server production support and service agreement
This purchase or expenditure is being made because:
this is a renewal of support for virtualization software for the departments computer
servers attached to the network.
Vendor selected for this purchase: ACES
❑ Bids or written quotes were taken on this purchase, as follows:
Fx Bids or quotes were not taken on this purchase because:
ACES is the support provider and hardware supplier of the computer network
for the Police Department
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
Fx General Fund El Road Use Tax ❑ Sewer ❑ Sanitation
❑ Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-11-1105-1520
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ /y Z"41(.3
and the current available balance is $ 7q, /;Z.
Respectfully submitted,
(Sign ture Dept. Head or Designee) Date (Signalure Finance Dept. Review) Date
KAshared goodies\forms\VMWare.xlsx(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date i /I? /IG
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Department to expend
$ 2,359.50 plus est. shipping costs of $ to pay for or purchase
3 - Rolls of DG3 Sheeting and 3 Rolls of Clear EC Film
This purchase or expenditure is being made because:
Fabricate 'No Parking" and Pedestrian Crossing signs.
Vendor selected for this purchase: 3M
❑X Bids or written quotes were taken on this purchase, as follows:
3M Transportation Safety Division St. Paul, MN $2,359.50
Newman Signs Jamestown, ND $4,145.52
IPI Anamosa, IA $6,341.25
❑ Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑ General Fund ❑ Road Use Tax 1-1 Sewer ❑ Sanitation
❑X Bonds Federal/other grants F Other(specify)
This expenditure is to be coded to the following budget line-item:
41 A-17-7120-2125
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ _ 4J000.00 ',
and the current available balance is $ 10,000.00 ✓
Respectfully submitted,
IYA il A
Signature Dept. He or Designee) to (Signature Finance Dept. Review) Date
KAshared goodies\forms\2019-November-Expenditure Pre-Authorization-Traffic-3M-Sheeting&Film-$2,359.50-418-17-7120-2125.xis(Mar
2010)
City Clerk Use Only
Finance Committee l
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 Traffic Department to expend
$ 1,769.46 plus est. shipping costs of $ 192.00 to pay for or purchase
172 -Aluminum Sign Blanks
This purchase or expenditure is being made because:
Fabricate 'No Parking" and Pedestrian Crossing signs.
Vendor selected for this purchase: Hall Signs
Bids or written quotes were taken on this purchase, as follows:
Hall Signs Bloomington, IN $1,769.46
Newman Signs Jamestown, ND $2,177.46
IPI Anamosa, IA $2,483.70
F] Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
EIGeneral Fund EI Road Use Tax F—I Sewer F—] Sanitation
❑X Bonds F—I Federal/other grants EI Other(specify)
This expenditure is to be coded to the following budget line-item:
4ld-17-7120-2125
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ /1),000.00
and the current available balance is $ -2
*Repectfully submitted,
'tJ
j4&� 4
re Dept. Nead or Designee) Date (Sig ature Finance Dept. Review) Date
K:\shared good ies\forms\2019-November-Expenditure Pre-Authorization-Traffic-Hall Signs-Blanks-$1,769.46+$172.00-418-17-7120-
2125.xls(Mar 2010)