HomeMy WebLinkAboutApproved Documents - 3/19/2018 FINANCE DEPT. STAFF ONLY
LINE ITEM USED IOA65 13"1'&TRAVEL REQUEST FYoM,JJBUDGETED 010
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST 5 C1
LEFT AFTER THIS �L
REQUEST
DATE
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Bobbie Moline-Kramer, Artist March 7, 2018
NAME OF CLASS/ MEETING: DESTINATION.
Gallery Talk& Waterloo Schools Presentation Woodland Hills, CA to Waterloo, IA
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
March 7, 2018 March 10, 2018 March 8—9, 2018
PURPOSE OF TRAVEL/TRAINING: Artwork by Bobbie Moline-Kramer is currently being exhibited at Waterloo Center for
the Arts. During Kramer's visit to Waterloo she will be conducting a series of presentations at East and West High School
and giving a public gallery talk at the Art Center. Lodging and Meals costs will be reimbursed by Culture Leadership
Partner funds from the Iowa Arts Council, a Division of the Iowa Department of Cultural Affairs-
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 26STG.OSG 010 25 a2s51sas
$150 LODGING TAXI x GRANT REIMBURSABLE
$100 MEALS PARKING YES NO
REGISTRATION AIRFARE x REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $250 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
L_<_4
DEPARTMENT HEAD MAYOR
3 /1 -1116 '2/« ll 6
PW%ared Goodies\Forms\Travel Request Form January 2010 DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1160-1528
TRAVEL REQUEST FY_2018_ BUDGETED 11PPO-PDK9 &a)
CITY OF WATERLOO EXPENDED YTD g- 7 33
THIS REQUEST l ooy
LEFT AFTER THIS
REQUEST
DATE �1cJ
Original-Clerk/Finance Cop -Department
NAME(S) AND POSITION(S): DATE
P.O. A. Bovy/P.O. Ehlers 3/7/18
P.O. Herkelman Lt. Fangman
NAME OF CLASS/MEETING: DESTINATION Johnston, Iowa
K-9 Drug Detection Enhancement Course MCTC Mid-West DEPARTURE POINT
Counter Drug Training Center IF NOT WATERLOO:
DEPARTURE DATE: Return Date: DATE(S) OF MEETING:
April 9th, 2018 April 12`x', 2018 April 9'-12th,2018
PURPOSE OF TRAVEL:
Captain Krogh is requesting authorization to send Lt. Fangman, P.O. Herkelman, P.O. Al Bo and P.O. Ehlers to
K-9 Drug Detection Enhancement Course MCTC in Johnston, Iowa on April 9'-12, 2018. The course is designed
for advanced training or Drug Detector Dogs and Handler teams. Lt. Fangman is the supervisor for the K-9 Unit
and all of the officers are K-9 handlers for the Waterloo Police Department. City vehicles will be needed for travel
_ to this training. There is no cost for the registration and lodging This training will be paid for out of the K-9 fund
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:
$.00 LODGING -------.00 Metro trans x GRANT REIMBURSABLE
$600.00 MEALS .00 Parking YES NO
$.00 REGISTRATION .00 AIRFARE x REQUIRED CERTIFICATION
$400.00 MILEAGE/FUEL .00 Baggage fee YES NO
TOTAL FOR ALL: $ 1000.00 TOTAL: $ 250.00 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
' \'�ron'n2"
DEPARTMENT HEA =-9
MAYOR
DATE DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1160-1528
TRAVEL REQUEST FY_2018_ BUDGETED 11PR0-PDK9 &6e)o y
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original-Clerk/Finance Co -Department
NAME(S) AND POSITION(S): DATE
P.O. A. Bovy/P.O. Ehlers 3/7/18
P.O. Herkelman
NAME OF CLASS/MEETING: DESTINATION Anamosa, Iowa
2018 Detector Dog Trials DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: Return Date: DATE(S) OF MEETING:
April 15, 2018 April 170', 2018 April 15'-17,2018
PURPOSE OF TRAVEL:
Lt. Fangman is requesting authorization to send P.O. Herkelman, P.O. Al Bovy and P.O. Ehlers to the 2018 Detector
Dog Trial certification in Anamosa, Iowa, on April 15-17, 2018. All of the officers are K-9 handlers for the
Waterloo Police Department. City vehicles will be needed for travel to this training. This training will be paid for out
of the K-9 fund.
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:
$600.00 LODGING .00 Metro trans x GRANT REIMBURSABLE
$270.00 MEALS .00 Parking YES NO
$300.00 REGISTRATION .00 AIRFARE x REQUIRED CERTIFICATION
$200.00 MILEAGE/FUEL .00 Baggage fee YES NO
TOTAL FOR ALL: $ 1370.00 TOTAL: $ 456.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD MAYOR
viDATE , DATE
FINANCE DEPT STAFF ONLY
TRAVEL REQUEST LINE ITEM USED Aae 3� 6F�b�3et&
CITY OF WATERLOO FY;dXBUDGETED �7GSJ
EXPENDED YTD
16--a y�
THIS REQUEST 3ya5
LEFT AFTER THIS
REQUEST
DATErJ
Original-Clerk/Finance Copy- Deportment
NAME(S) AND POSITION(S):
Angie Fordyce/Matt Chesmore/Jon Martin DATE:
2-22-2018
NAME OF CLASS/ MEETING: DESTINATION: Omaha, Nebraska
2018 National Lead and Healthy Housing Conference DEPARTURE POINT
HUD Program Managers School
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE:
Monday April 30 DATES) OF MEETING:
Thursday, May 3, 2018 April 30- May 3
PURPOSE OF TRAVEL/TRAINING
Training for three people was budgeted for and accepted in our contract with HUD in regards to the Lead Hazard
Grant. This training is mandatory and will be something that Community Development will have to do on an
annual basis in order to comply with the lead grant regulations.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST$
METHOD OF TRAVEL: YES NO
x CITY VEHICLE
PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Carnegie Annex
ESTIMATE OF COST:
BUDGET LINE ITEM: 224-32-5853.1346
1700.00 LODGING TAXI
x GRANT REIMBURSABLE
420.00 MEALS 100.00 PARKING YES NO BGLED.ADMIN
630.00 REGISTRATION AIRFARE
x REQUIRED CERTIFICATION
S�O:Ov MILEAGE/FUEL 25.00 MISC/TOLLS YES NO
TOTAL FOR ALL: $ LOL6- "
TOTAL: $ 'lGQ 3g 3 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE I APPROVE THIS TRAVEL REQUEST
CITYOF WATERLOO
`�• C '� L (,cam /�----- � - '�
DEPARTMEI T HEAD t
MAYOR
DATE {� �I
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K:\Shared Goodies\Forms\Travel Request Form January 2010
Monday, April 30, 2018
7:30am-5:00 pm Conference Registration
*Optional Pre-Conference Training—Lead Paint Supervisor Orientation
9:00am-4:00pm Refresher Lead Supervisor Basics for Grantee Staff(this is not a licensing course)
Understanding the Basics of containment and required lead safe work practice for unit site
monitoring and scope of work development, and impact and use of Occupant Protection Plans
for relocation approval
NO FEE course is for OLHCHH Grantees ONLY
Presentation to be facilitated by OLHCHH
9:00 am-430pm New Grantee Orientation
By invitation only,all required grantees will be notified by the GTR for their region.
NO FEE Course is for select OLHCHH Grantees ONLY
Presentation to be provided by OLHCHH
2:00 pm—5:00 pm Workshop on lead hazard control and healthy housing technical issues including changes to
the HUD Lead Hazard Control Guidelines, Lead Safe Housing Rule and new Lead in Dust
Clearance Standards(add$45 to your conference registration)
2:00 pm—5:00 pm Workshop on grant management issues—from intake to closeout(add$45 to your conference
registration)
CILHCHH Grantees are required to HUD Program Manager's School with a
minimum of 2 persons from each active award.
*Pre-Conference Session will be required for some but not all. Please contact
your GTR if you have any questions regarding who has to attend and or when
to arrive at these events.
2
Tuesday, May 1, 2018
7:30am-5:00 pm Conference Registration
Welcome Remarks
9:OOam-9:40am
HUD's Federal Lead Strategy
Where are we now, where do we need to go, who is at the table, what is the grantee role?
9:40am-10:20am
Public Private Partnerships
Defining these partner types, where are they, and how do they impact grantees
10:20am-10:40am Networking Break
10:40am-11:20am State Regulations Update-Panel
Many States have updated lead regulations and policies that we can all learn from. We will
explore the changes that have been made by States, the local and grantee impact along with
lessons learned from their implementation so far.
11:20am-12:OOpm HIPAA Info Exchange
Understanding what is HIPAA, what are the requirements and how to manage the data you
have. Impacts on data sharing agreements, how to approach a data partner with a new
understanding of what you can share.
12:OOpm-1:30pm Lunch on Your Own
Policy Review for 2017
We will review the progress of the policy implementation,give tips and feedback from grantee
1:30pm-2:20pm input and review the processes involved for compliance in all 2017 policies. In addition to this
session there will be an amnesty table set up for the duration of the conference to allow
grantees to submit documentation for review and guidance of compliance. We encourage all
grantees to take advantage of the review on site to ensure information and application of
policies in your documentation.
Contractor Capacity Panel
A national decline in lead abatement trained workers and supervisors and associated firms has
2:30pm-3:45pm been felt through our grantee network. We will hear from Regional, State, and local
perspectives along with Grantees,and Contractors to hear root causes and explore new solution
ideas.
3:45pm-4:10pm Networking Break
3
Relocation and Occupant Protection
What are the roles and responsibilities of the grantee, owner,occupant and contractor? What
4:10pm-5:OOpm are the limitations of funding use and solutions to keep the budget intact for relocation expenses
while protecting families?Documenting compliance with the process vs. completing a compliant
process.
5:OO pm-6:30 pm Networking Reception and Exhibit Viewing
4
Wednesday, May 2, 2018
8:00am-9:00am Networking Session and Exhibit Viewing
8:00 am—8:45 am Meeting of the National Safe and Healthy Housing Coalition
Three Concurrent Educational Tracks
TRACK#1
HUD GRANT TRACK#2 TRACK#3
ADMINISTRATION and PROGRAM LEAD POISONING PREVENTION, LEAD
MANAGEMENT PERFORMANCE and HAZARD CONTROL AND HEALTHY HOUSING
ISUUES RESOURCES ISSUES
Fiscal Vulnerability and
Contract Development Unit Eligibility Appropriations for Lead and Healthy
9:00am-9:50am Housing Initiatives
Developing Effective and
Compliant Work Plans and HHS Review of sample Building Political Will at the Local and
10:00am-10:50am Policy and Procedures
National Levels
GTR Breakouts* in the Studio Rooms
Required Session Status of Changes to the EPA Lead Hazard
11:00am-12:00pm All GTR's Standards
12:00pm-1:30pm Lunch on Your Own
Research Update
1:30pm-2:10pm The Policy and standards division will provide o portfolio of new tech studies and those that ore
in process. We will learn about their anticipated results(hypothesis)and their results to date. We
will also discuss what the applications for grant programs may be and how to find more info on
these research results as they progress.Smoke Free, Radon, Mold and Asbestos News!
2:10pm-3:00pm Outreach Breakthroughs!—Panel
We will cover new techniques every year but this year it is interactive.Some grantees have really
outdone themselves in super effective ways. They are honored to have you copy them so take
good notes!Samples will be on display in exhibit area. Marketing through program approach and
creative partners as well as creative materials.
=Howto
ule
t3:00pm-3:30prnnd connect public housing agencies to your programsfor expertise andiance with new Lead Safe Housing Rule Amendment
OLHCHH Staff
5
3:30pm-3:50pm Networking Break
Community Health workers
3:50pm-4:20pm This session will discuss how to work with community health workers to expand yoIthe
intake and outreach to the grant program and build advocacy of HH.
Monitoring
4:20pm-5:00pm This session will go over the multiple areas of program implementation that requir
by the grantee. Who, how when and where to document monitoring will be includ
discussion.
K5:OOpm-6:30pm Networking Reception and Exhibit Viewing
Thursday, May 3, 2018
8:00am-9:00em Networking and Continental Breakfast
9:00am-9:45am *OLHCHH Grantee Listening Session— Required Session
Grantees have the opportunity to share ideas,suggestions and needs with OLHCHH
leadership.
10:00am-12:00pm *Moderated Round Table Discussions Required Session
Attendees will rotate between round table topics from 10:00 am to 12:00 pm,spending 15-20
minutes at as many tables as they can get to. Moderators will facilitate discussions and take
notes around the topics listed below focusing on successes, challenges,gaps/needs, etc. At the
end,the groups will come together to share discussions and develop possible next steps for
action items identified
12:00pm-12:30pm *Closing Session— Required Session
Grantees have the opportunity for final questions on content and program issues. This session
will include:Wrap Up,take away's, next steps and feedback.
6
1/26/2016 620 Mulberry St,Waterloo, IA 50703 to 1001 Cass St,Omaha, NE 68102-Google Maps
Go gle MapS 620 Mulberry St, Waterloo, IA 50703 to 1001 Drive 265 miles, 3 h 51 min
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4 h 17 min
259 miles
https://www.google.com/maps/dir/620+Mulberry+St,+Waterloo,+IA+50703/1001+Cass+St,+Omaha,+NE+68102/@42.3659245,-98.0705284,5.75z/data... 1/1
7ce Location& Hotel Information I Lead and Healthy Housing Conferences Page 2 of 6
► Exhibit Information
► Register Today!
Conference Location & Hotel
Information
The
Confer
ence
will be
held at
the
Hilton
Omah
a
located
in the
downt
own
area. The Hilton is located at: 1001 Cass Street, Omaha, NE 68102.
A block of rooms has been reserved at a special conference rate of$149 for a
single or double occupancy; $1S9 for a triple occupancy, and, $169 for a quad
occupancy. These rates are available from check-in on Saturday,April 28th
through check-out on Thursday, May 3rd based on availability.
To be guaranteed the conference rate, reservations must be made by March 30,
2018. When making your reservation, be sure to tell the hotel that you are
attending the Lead and Healthy Housing Conference. To make your hotel
reservations, call the Hilton at 402.998.3400 or use the link below which will
connect you with the Conference Hotel Reservations Page.
http://healthyhousingconferences.com/2018-conference-location-hoteU
1/26/2018
FINANCE DEPT. STAFF ONLY
L�(//b
LINE ITEM USED a�`l� -5;2-5;2645 /34-&
TRAVEL REQUEST FY.eGBUDGETED 6-o
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CITY OF WATERLOO EXPENDED YTD S3(a
THIS REQUEST Oct)o2
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L.22=111-111-Clerk/Finance Com
p-DepartmentNAME(S)AND POSITION(S): DATE:
Maggie Howard-Heretakis
April 9-April 13, 2018
NAME OF CLASS I MEETING: DESTINATION:
40 Hr Lead inspector/Risk Assessor Training Des Moines
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
April 9, 2018
April 13, 2018 April 9-13
PURPOSE OF TRAVELITRAINING:
With the loss of one of our rehabilitation staff who had the Lead Inspector Risk Assessor certificate, it is necessary for
Community Development to train another key person in regards to the Lead Grant. The cost of this training will be paid for
using lead grant funds.
WILL AVEL REQUIRE ADDITIONAL PERSONNEL:
TRx COST $
YES NO
METHOD OF TRAVEL: PRIVATE VEHICLE
x CITY VEHICLE
AIRFARE DEPARTING FROM: Carnegie Annex
224-32-5853-1346 (900)
ESTIMATE OF COST: BUDGET LINE ITEM: 224-325853-1390 (1100)
x GRANT REIMBURSABLE
500.00 LODGING TAXI
175.00 MEALS 100.00 PARKING YES NO BGLED.ADMN
1100.00 REGISTRATION
AIRFARE x REQUIRED CERTIFICATION
100.00 MILEAGE/FUEL 25.00 MISCITOLLS YES NO
TOTAL FOR ALL: $ 2000.00
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
DEPARTME T H A MAYOR
r'I�1 �ttiS
DATE
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
9 IOWA LEAD INVOICE
&ASBESTOS 03/13/18
iSAFETY
4725 Merle Hay Road, Suite 212 I Des Moines, IA 50322 Invoice# 6303
515-331-1690
Due Date.��,� 04/09/18
Bill To REMIT TO:
City of Waterloo PO BOX 245
715 Mulberry St JOHNSTON, IA 50131
Waterloo, IA 50703
P.O. Number
Class Date Item Description 7QuantityRate Amount
04/09/18 Lead 40 Hr Lead Inspector/Risk Assessor training class- 1,500.00
Inspector Maggie
04/09/18 Lead Agency discount -400.00
Inspector
Subtotal $1,100.00
Payments/Credits $0.00
Balance Due $1,100.00
www.lowaLeadSafety.com I www.lowaAsbestosSafety.com
3/13/2018 Waterloo, IA to Merle Hay Rd, Iowa-Google Maps
Waterloo, IA to Merle Hay Rd, Iowa Drive 111 miles, 1 h 59 min
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132 miles
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125 miles
https://www.google.Com/maps/d ir/Waterloo,+IA/Merle+Hay+Rd,+Iowa/@42.0690412,-93.5664891,Mdata=!3m 1!4b 1!4m 13!4m 12!1 m5!1 m 1!1 sOx87e54... 111
1HG
Let's reserve it. Best Price
Guarantee
Holiday Inn & Suites
Des Moines-Northwest
4/9/2018 - 4/13/2018 1 1
Your Rate
Take advantage of our best and least restrictive publicly available rate. Changes to your reservation
are usually acceptable, but always check the hotel's cancellation policy before booking for
cancellation fees that may apply depending upon arrival date and hotel selected.
STANDARD ROOM
Best Flexible Rate
Average Nightly Rate
104.99 USD per room, per night.
Maximum #of Persons per Room Allowed
3 persons max
Rate Information per Night for 1 Room
Mon Apr 09 2018-Fri Apr 13 2018 104.99 SSD
Price for 1 room(s) and 4 night(s): 419.96 USD
Taxes: 50.40 USD
Total Price: 470.36 UD
Rate Rules
Check-in-time: 3:00 PM
Check-out-time: 11:00 AM
Taxes and Additional Charges
12% per night not included in rate effective 9 April, 2018 thru 13 April, 2018
5PCT STATE TAX AND 7PCT LOCAL OCCUPANCY
Other Charges
The following fees will be added to your bill only if they apply to your stay
Pet Fee: 20.00 USD
Parking
Car Parking Available
Pet Policy
Weight limit of 50lbs. Pet must remain crated when unattended.
Average Est Room Total Per Night:
104.99 USD
Estimated Total•
470.36 USD
Guest Information
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CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 03/12/2018
Prepared: Nancy Higbv
Dept. Head Signature: Kelley Felchle
#of Attachments:
SUBJECT: Refunds
Submitted by: Kelley Felchle City Clerk
Recommended Committee Action: Approval of the following refunds:
Refund request in the amount of$65.10 for extended yard waste fees billed in error for property
located at 5848 Applewood Drive.
Summary Statement: This property has been charged for extended yard waste fees that had not
requested.
Expenditure Required: As indicated above
Source of Funds: GARBAGE REFUND 525-15-5400-1785
Policy Issue: None
Alternative: Not give the reimbursement.
Background Information: Recommendation for reimbursements are only made after Waterloo
Water Works, Sanitation, and Waste Management Services have been contacted to verify the
information given by the individual.
hlz &'' F RkDAf{ouncilK!in�mceConunuLiicatlows,(oun(it
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Nancy Higby
From: ELLA ELLIS
Sent: Monday, March 12, 2018 8:41 AM
To: Nancy Higby
Subject: RE: 5848 Applewood Drive
Well maybe not so cool, Mary just called me back and said we have already gotten the money, we would have to do the
refund for$65.10. 1 told her I thought was odd, but maybe they do something different. Go ahead and submit the
request for refund and we will give Mr. Ambrose a check.
Thanks.
From: Nancy Higby
Sent: Monday, March 12, 2018 8:35 AM
To: ELLA ELLIS
Subject: RE: 5848 Applewood Drive
Oh cool. Thanks Ella!
Na" H jlyy
Administrative Secretary to the City Clerk
City of Waterloo, Iowa
Ph:319-291-4522 Ext, 3000
Fx:319-291-4571
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS ADDRESS MAY BE
SUBJECT TO PUBLIC DISCLOSURE.
From: ELLA ELLIS
...... .....
Sent: Monday, March 12, 2018 8:34 AM
To: Nancy Higby
Subject: RE: 5848 Applewood Drive
Hi Nancy,
I talked with Mary today at Water Works and they will cut Mr.Ambrose a check on Friday. She offered him a credit on
his Water bill, I called him and asked him about getting a refund on his bill but Mr.Ambrose wanted a check, he said his
bill was already paid up (like he wasn't gonna get another bill) and then he said he had been waiting months (so what).
Thanks.
Ella
1
From: Nancy Higby
Sent: Friday, March 09, 2018 4:22 PM
To: ELLA ELLIS
Subject: RE: 5848 Applewood Drive
Hi Ella,
I received a follow up call on this yesterday. I don't see in my records that you have made a determination on this. Can
you review your records? Maybe I missed it and let it fall through the cracks. I doesn't look like I attached a scan, but
don't know if I sent over a copy either. So I'm attaching the documentation here for your to make a recommendation.
Thanks, and enjoy the weekend!
From: Nancy Higby
Sent: Wednesday, January 24, 2018 10:25 AM
To: ELLA ELLIS
Subject: 5848 Applewood Drive
Hi Ella,
Please confirm when the yard waste container was picked up and the extended service cancelled.
Thank you.
Na" NuJhy
Administrative Secretary to the City Clerk
City of Waterloo, Iowa
Ph:319-291-4522 Ext. 3000
Fx: 319-291-4571
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS ADDRESS MAY BE
SUBJECT TO PUBLIC DISCLOSURE.
2
Customer: Scott Ambrose Water Works Account Number: 123583-536163
City Clerk's office
715 Mulberry St.
Waterloo, IA
Scott had his yard waste cart picked up in January 2016,the charge for the can was removed from his
account but the Extended Yard Waste charge still appeared, when it should have been removed in
January 2016.
Scott has since over paid$65.10 for the extended yard waste service that he does not have and is
seeking to be reimbursed.
Thank you.
WATERLOO A I-WORKS Phone: (319) 232-6280
www.waterloowater.org
325 Sycamore Street P
P.O. Box 27 aee 1 of 1
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ustomer Name: Ambrose Scott Billing Frequency: Quarterly
ccount Number: 123583-536163 Billing Date: 01/04/2018
ervice Address: 5848 APPLEWOOD DR Billing Due Date: 01/25/2018
Waterloo Water Works Services
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance
$47.00 $158.19
$3 ..... .. ... .. .......
Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Credits/Payments.. ... ..... . . .. ... . . ..... .. ... . -$158.19
.29
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $50.29 Water Works Subtotal. ..... .. .. ...... .. .. . . ... . ,
$50.29
City of Waterloo Services
City of Waterloo Subtotal.. .. ........ .... . . .... . . $112.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $63.45
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Current Service Charges.. ...... .. .... . . . ... $162.79
$8.25 Total Amount Due.. ... . ...... ..... ..... ........
Extended Yard Waste. . . . . . . . . . . $9.30 $162.79
Amount Due After 01/25/2018. .. ... ... .. .... . ...
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 $170.77
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $112.50
09/28/2017 01/02/2018 1,421 Actual 1,440 Actual
26 19
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' Account Number:
WAT'E R LO WATER 123583-536163
P.O. Box 27
Amount Due After: 170.77
Waterloo, Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Ambrose Scott
5848 Applewood Dr
Waterloo, IA 507019416 '
WATERLOO WATER WORKS
P.O.BOX 27
Please check box if contact information requires WATERLOO.IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO W TER WORK5
Phone: (319) 232-6280
325 Sycamore Street www.waterloowater.org
P.O. Box 27 Paee 1 of 1
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ustomer Name: Ambrose Scott
Billing Frequency: quarterly
ccount Number: 123583-536163
Billing Date: 10/04/2017
ervice Address: 5848 APPLEWOOD DR
Billing Due Date: 10/26/2017
Waterloo Water Works Services
Water. . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance... ... . . . .... .... $159.75
. . . . . . . . . . . $42.70 .... ..... ....
Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2 gg Credits/Payments... ... ..... . $159.75
. ...... .. .... . . .. .
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . .
$45.69 Water Works Subtotal... .... . . .... ... $45.69
City of Waterloo Services
City of Waterloo Subtotal.. .. .... . . .. ..... . . .. . .. $112.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $63.45
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Amount
Current Service Charges..... .. . .. ... .. ..... $158.19
$8'25 TotalAmount Due. . .... ..... . ... ... . . . .... .. .. .
Extended Yard Waste . . . . . .. . $9.30 $158.19
. . . . . . . . . . . . . . . . .
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 10/26/2017. . .. . .. . . . .. . . .. .. . $165.96
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $112.50
F06/27/2017 09/28/2017 1,402 Actual 1,421
Actual 19
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® Account Number:
WATERLOG WATER WURKS �r 123.. .... 163
Amount Due After:
P.O. Box 27 165.96
Waterloo, Iowa 50704 'K
tom' mfg .'
Phone:(319)232-6280 Amount Enclosed:
Ambrose Scott
5848 Applewood Dr
a
Waterloo,IA 507019416
WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO, IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO WATER WC3RK5
Phone: (319)232-6280
325 Sycamore Street www.waterloowater.org
P.O. Box 27 Paee 1 of 1
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ustomer Name: Ambrose Scott
Billing Frequency: Quarterly
ccount Number: 123583-536163
ervice Address: 5848 APPLEWOOD DR Billing Date: 07/05/2017
Billing Due Date: 07/26/2017
Waterloo Water Works Services
Fill
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3.12 Previous Balance... .... . . .. .. ... $156.32
.. .. ..... .. ..
Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $44.45 Credits/Payments. .... .. .. .. ........ . $164.32
Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $7.68 Balance Forward.. ..... ..... .... .... .. .. . . .... . -$8.00
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . .
$55.25 Water Works Subtotal. . . . .... ........ ..... .. ... $55.25
City of Waterloo Services
City of Waterloo Subtotal. .. ..... . .. ..... .. ... ... $112.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $63.45
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Current Service Charges.... .. . ..... .. ...... $167.75
$8'25 Total Amount Due. .... .. .. . . . ..... . . ..... .. ... .
Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $9.30 $159.75
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 07/26/2017... . . .. ..... . ...... $167.59
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $112.50
03/27/2017 06/27/2017 1,382 Actual 1 402 ,
Actual 20
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® Account Number:
WATERLOO R 123583536163
�'�
P.O.Box 27
Amount Due After: 167.59
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
Ambrose Scott
5848 Applewood Dr
Waterloo,IA 507019416
WATERLOO WATER WORKS
P.O. BOX 27
❑Please check box if contact information requires WATERLOO. IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO WATER WORKS
Phone: (319)232-6280
325 Sycamore Street www.waterloowater.org
P.O. Box 27 Paee 1 of 1
Waterloo. Iowa 50704 STATEMENT OF SERVICES
0
ustomer Name: Ambrose Scott
ccount Number: 123583-536163 Billing Frequency: Quarterly
ervice Address: 5848 APPLEWOOD DR Billing Date: 04/04/2017
Billing Due Date: 04/25/2017
Waterloo Water Works Services
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40.95 Previous Balance.. . . ... .. .... ... $152.15
..... .. .... . ...
Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2 87 Credits/Payments. .... . . .. .. ... $159.63
.. ... .. .... . . ...
Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance Forward.. ..... ..... . ...... . . ....... ... $7.48
$7.48
Water Works Subtotal . . . . . .. . . . . . . . . . . . . . . . . . $51.30 Water Works Subtotal.. .... .. .......... .... . . ..,
City of Waterloo Services $51.30
City of Waterloo Subtotal. ....... . .. .... .. ..... .. $112.50
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $63.45
Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Current Service Charges.. . . ... ..... .. .... .. $163.80 Extended Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Total Amount Due........ .. ..... ... . . .... .. ... . $156.32
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 04/25/2017.. .. ... ..... . . ..... $164.00
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $112.50
E12/28/2016 03/27/2017 1,364 Actual 1,382
Actual
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® Account Number:
WATE R L Q Q WJ TER W R KS � 123583 536163
r
Amount Due After:
P.O.Box 27 164.00
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
� Mo>
Ambrose Scott
5848 Applewood Dr
Waterloo, IA 507019416
WATERLOO WATER WORKS
P.O.BOX 27
❑ Please check box if contact information requires WATERLOO.IOWA 50704
updating and indicate the changes)on reverse side
WATERLOO WITULWORKS
Phone: (319)232-6280
325 Sycamore Street www.waterfoowater.org
P.O. Box 27 Paee 1 of 1
Waterloo. Iowa 50704 STATEMENT OF SERVICES
MMOM
IN
ustomer Name: Ambrose Scott
Billing Frequency: Quarterly
ccount Number: 123583-536163
Billing Date: 01/04/2017
erVlce Address: 5848 APPLEWOOD DR
Billing Due Date: 01/26/2017
Waterloo Water Works Services
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance...... ... `. ..... $165.26
$39.20 ... ...... .. ... .
Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Credits/Payments... ...... . -$165.26
$2.75 ..... .. . ..... .......
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $41.95 Water Works Subtotal..... .. ..... ... .. ... . ....
$41.95
City of Waterloo Services
City of Waterloo Subtotal. .. ... .. ........ .. .. . ... $110.20
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $61.15
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Current Service Charges.. . . . .. . .... .. ...... $152.15 Extended Yard Waste . . . . . . . Total Amount Due..... ..... .... . .. . . . .. .. ..... .
59.30 $152.15
. . . . . . . . . . . . . . . . . .
Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 01/26/2017.... . .. .... . . ..... . $159.63
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $110.20
too== . �. .-
09/21/2016 12/28/2016 1,347 Actual 1,364 Actual
17
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se side for —--------
additional information
dig ® Account Number: 123583-536163
WATERLOO WATFR WORKS 1
Amount Due After
P.O.Box 27 : 159.63
Waterloo, Iowa 50704x' "
Phone:(319)232-6280 Amount Enclosed:
Ambrose Scott
5848 Applewood Dr
Waterloo, IA 507019416
WATERLOO WATER WORKS
P.O. BOX 27
❑Please check box if contact information requires WATERLOO.IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO WATT&WORKS Phone: (319) 232-6280
www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
Fervi
omer Name: Ambrose Scott Billing Frequency: Quarterly
unt Number: 123583-536163 Billing Date: 10/04/2016
ce Address: 5848 APPLEWOOD DR Billing Due Date: 10/26/2016
Waterloo Water Works Services
Previous Balance. . . ... . .. .... ........ .. .... .... $169.00
Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $51.45 Credits/Payments. ... .. ..... . . ..... . . ..... ..... $169.00
Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3.61
Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $55.06 Water Works Subtotal. .. ....... ... ..... . . ......, $55.06
City of Waterloo Services City of Waterloo Subtotal . .... .. ...... .. ..... ... . $110.20
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $61.15 Total Current Service Charges.. . . .. .. .... .. ...... $165.26
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due... .... . . ..... ... ..... .. ... .. . $165.26
Extended Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Amount Due After 10/26/2016. .... .... .. ..... ... $173.35
GarbaRe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $110.20
06/28/2016 09/21/2016 1,323 Actual 1,347 Actual 24
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r Account Number: 123583-536163
WATERLOO � R . tgtt9a15
Amount Due After: 173.35
P.O.Box 27
Waterloo,Iowa 50704 `' '
Phone:(319)232-6280 Amount Enclosed:
Ambrose Scott
5848 Applewood Or
Waterloo,IA 507019416 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO.IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO W UF LA"O RKS Phone: (319)232-6280
` www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O. Box 27
Waterloo, Iowa S0704 STATEMENT OF SERVICES
sI MEN=
ustomer Name: Ambrose Scott Billing Frequency: Quarterly
ccount Number: 123583-536163 Billing Date: 04/04/2016
ervice Address: 5848 APPLEWOOD DR Billing Due Date: 04/25/2016
Waterloo Water Works Services
Water. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . $39.20 Previous Balance............................... $180.74
Sales Tax. . . . . . . . . .. . . . . . . . . ... . . . . .:... . . . . . $2.75 Credits/Payments.............................. -$180.74
Water Works Subtotal . . . . . . . . . . . . . . . .. . . . . . . . $41.95 Water Works Subtotal.........................., $41.95
City of Waterloo Services City of Waterloo Subtotal....... ................. $114.70
Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $61.15 Total Current Service Charges.................... $156.65
Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $156.65
Extended Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . $9.30 Amount Due After 04/25/2016................... $164.35
Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50
Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4.50
City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $114.70
12/23/2015 03/22/2016 1,280 Actual 1,297 Actual 17
24
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��"KE CHECKS PAYABLE ' Account Number: 123583-536163
WATERLOOWATER WORKS 156.£,5
Amount Due After:
P.O.Box 27 164.35
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
DD
Ambrose Scott
5848 Applewood Dr
Waterloo,IA 507019416 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO.IOWA 50704
updating and indicate the change(s)on reverse side
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 03/12/2018
Prepared: Nancy High
Dept. Head Signature: Kelley Felchle
# of Attachments:
SUBJECT: Refunds
Submitted by: Kelley Felchle, City Clerk
Recommended Committee Action: Approval of the following refunds:
Refund request in the amount of$53.11 for extended yard waste fees billed in error for property
located at 105 Derbyshire Rd.
Summary Statement: This property has charged for extended service that had not requested.
Expenditure Required: As indicated above
Source of Funds: GARBAGE REFUND 525-15-5400-1785
Policy Issue: None
Alternative: Not give the reimbursement.
Background Information: Recommendation for reimbursements are only made after Waterloo
Water Works, Sanitation, and Waste Management Services have been contacted to verify the
information given by the individual.
hu hCII.RhI)AI'CoiinciI&Fin anceCommn tin aitions council(ommuricationstoCounciI&U1-inane 2Ol>- Pinanc,�Communi
aition�030EI15.sarba_c.rcfund.doc
February 20, 2018
City of Waterloo
Finance Department
715 Mulberry St
Waterloo, IA 50703
Dear Sirs,
I am writing to let you know that an "extended yard waste" fee
has been charged to us at 105 Derbyshire Rd, Waterloo IA
50701 since September 2016. We did not request this and have
not used it because of that. I spoke to a very courteous staff
person who indicated that the charge has been in error since
September 2016. She determined that the rate of$3.10/month
we are owed a refund of$55.80 for September 2016 through
February 2018 (18 months).
I look forward to your response to this request. If you need to
call us our number is 319-233-4873.
Sincerely,
C
Charles & Joan Mattson
105 Derbyshire Rd.
Waterloo IA 50701
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WATERLOO WATER WORK5 Phone:(319)232-6280
www.waterloowater.org
325 Sycamore Street Page 1 of 1
P.O. Box 27
Waterloo, Iowa 50704 STATEMENT OF SERVICES
ACCOUNT SUMMARY
L
Name: Charles T&Joan Mattson Billing Frequency: Quarterly
umber: 109523-503438 Billing Date: 11/17/2016
dress: 10S DERBYSHIRE RD Billing Due Date: 12/12/2016
Waterloo Water Works Services
Water. . . . .. . . .... .......... ...... ...... .... $17.36 Water Works Subtotal.....................,.... $18.58
Sales Tax. . .. . .. . . . ......................... . $1.22
Water Works Subtotal........... ..... ,. $18.58 City of Waterloo Subtotal............,........... $81.40
City of Waterloo Services Total Current Service Charges.................... $99,98
Total Amount Due.............................. $99,98
Sanitary Sewer. . . . . . . . . . . . .. ... ......... .... . $29.45 Amount Due After 12/12/2016................... $104.04
Storm Water Fee. .... . ..... .................. $5.87
Yard Waste... . .. .. . . . . .. . . ... .............. . $6.40
Extended Yard Waste. .. . .. . ... .... .... . ... .. . $6.61
Garbage. .. . . .. . .... . . ....... .. .. .. .. .... .. . $33.07
City of Waterloo Subtotal .... . ....... ..... . .. . $81.40
Previous . . Previous . Type Current Read Current Read Type Usage(CCF) =1
09/02/2016 11/02/2016 169 Actual 170 Actual 1
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MAKE CHECKS PAYABLE ' Account Number: 109523-503438
WATERLOO WATER WORKS Totat Amount Due-, =�",s$
Amount Due After: 104.04
P.O.Box 27
Y
Waterloo,Iowa 50704 ` WK
Phone:(319)232-6280 Amount Enclosed:
DD
Charles T&Joan Mattson
105 Derbyshire Rd
Waterloo,IA 507014145 WATERLOO WATER WORKS
P.O.BOX 27
❑ Please check box if contact information requires WATERLOO,IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOG) WATER WORKS Phone:(319)232-6280
allwww.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O.Box 27
Waterloo,Iowa 50704 STATEMENT OF SERVICES
ACCOUNT SUMMARY
ustomer Name: Charles T&Joan Mattson Billing Frequency: Quarterly
ccount Number: 109523-503438 Billing Date: 02/16/2017
ervice Address: 105 DERBYSHIRE RD Billing Due Date: 03/10/2017
Waterloo Water Works Services CHARGE SUMMARY
Previous Balance.............................. $99,98
Water. ...... . . .. . .......... ....... .. .. . . . .. $25.20
Sales Tax. . . . . . . . . . . . . . . ..... . ...... .. ..... . . $1.77 Credits/Payments.............................. -$99.98
Water Works Subtotal........ . .. ..... .. .. ... $26.97 Water Works Subtotal........................., $26,97
City of Waterloo Services City of Waterloo Subtotal........................ $117.32
Sanitary Sewer.. .. . .. ...... ......... ... ... ... $42.75 Total Current Service Charges........,......... $144.29
Storm Water Fee.... .... ... .... . ... .. .. . . .. .. $8.25 Total Amount Due..................... $144.29
Yard Waste................ ... . ... . ... ... .... $9.00 Amount Due After 03/10/2017................... $151.42
Extended Yard Waste... . .... .... ....... . ... . . $9.30
Garbage. .. . . .. . . ... ... ... . .. .. ....... ... . .. $48.02
City of Waterloo Subtotal........... .. ...... . .. $117.32
Previous Read bate Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage(CCP)
11/02/2016 02/09/2017 170 Actual 177 Actual 7
SPECIALMESSAGES
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MAKE CHECKS PAYABLE ' Account Number: 109523-503438
WATERLOO WATER WORKS Total AmourftDue:
Amount Due After: 151.42
P.O.Box z7 Billing Due Date: 03/10/1017
Waterloo,Iowa 50704
Phone:(319)232-6280 Amount Enclosed:
DD
Charles T&Joan Mattson
105 Derbyshire Rd
Waterloo,IA 507014145 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO,IOWA 50704
updating and Indicate the change(sl on reverse side
WATERLOG} WEER WORKS Phone:(319)232-6280
www.waterloowater.org
325 Sycamore Street Paae 1 of 1
P.O. Box 27
Waterloo.Iowa 50704 STATEMENT OF SERVICES
ACCOUNT
ustomer Name: Charles T&Joan Mattson Billing Frequency: Quarterly
ccount Number: 109523-503438 Billing Date: 05/17/2017
ervice Address: 1D5 DERBYSHIRE RD Billing Due Date: 06/08/2017
Waterloo Water Works Services
Previous Balance............................... $144.29
Water. .. .. .. .. . . . . ........ .. ............... $ .95 Credits/Payments........... 144.29
Sales Tax.. . . . .. . .. .. ..... $2
...... .. .. ... .. . . . . $2.87
Water Works Subtotal. .. . ......... .... . . .. . .. $43.82 Water Works Subtotal.......................... $43,82
City of Waterloo Services City of Waterloo Subtotal........................ $100.80
Sanitary Sewer.. . . ... . .... .... $42.75 Total Current Service Charges..................., $144.62
Storm Water Fee.... . . . ..... ... .. .. ... . .... .. $8.25 Total Amount Due........ $144.62
Yard Waste. ... .. .... . . . ...... ........ ..... .. $9.00 Amount Due After 06/08/2017.................,. $151.72
Extended Yard Waste ... . . ... .... ... ....... .. . $9.30
Garbage.... . .. . . . . ... . .... ........... ...... $31.50
City of Waterloo Subtotal.... .... ........ . ..... $100.80
02/09/2017 05/04/2017 177 Actual 195 Actual 18
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Please detach and return the bottom portion with your payment.See reverse side for additional information
MAKE CHECKS PAYABLE TO: Account Number: 109523-503438
WATERLOO WAW__WORKS Total Amount Due: 144.52
P.O.Box 27
Amount Due After: 151.72 Waterloo,Iowa 50704 Billing Due Date: J08/2017
Phone:(319)232-6280 Amount Enclosed:
ADDRESSEE:
Charles T&Joan Mattson
105 Derbyshire Rd a
Waterloo,IA 507014145 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO,IOWA 50704
updating and indicate the change(s)on reverse side
WATERLOO WA 'ER WORKS Phone:(319)232-6280
www.waterloowater.org
325 Sycamore Street Page 1 of 1
P.O.Box 27
Waterloo,Iowa 50704 STATEMENT OF SERVICES
ACCOUNT SUMMARY
ustomer Name: Charles T&Joan Mattson Billing Frequency: Quarterly
ccount Number: 109523-503438 Billing Date: 08/15/2017
ervice Address: 105 DERBYSHIRE RD Billing Due Date: 09/06/2017
Waterloo Water Works Services CHARGE SUMMARY —
Water. . . . . .. . ... . ............... . . .. $39.20 Previous Balance............................... $144.62
. .. ....
Sales Tax. . . . . .. . . ... ..... . .. .. . . .. .... . .... $2.75 Credits/Payments...........1.1...............1 -$144.62
.
Water Works Subtotal. .. ..... . .... .... .... . . . $41.95 Water Works Subtotal........................... $41.95
City of Waterloo Services City of Waterloo Subtotal........................ $100.80
Sanitary Sewer. .. . ... . . . .. .. ........ .. ... . .. . $42.75 Total Current Service Charges............,....... $142.75
Storm Water Fee . . .. . . . ... . . . .. . ... ...... $8.25 Total Amount Due.................. ....... $142.75
Yard Waste. . .. . . ... . .... . .. .. .. . ... .. ... . .. . $9.00 Amount Due After 09/06/2017................... $149.76
Extended Yard Waste,. .. .... .... . ..... . . ..... $9.30
Garbage. . . . .... . ... ... ... . ........ . ... ... .. $31.50
City of Waterloo Subtotal.... .... .. . .... ... . ... $100.80
05/04/2017 08/08/2017 195 Actual 212 Actual 17�
20 �.
016 SPECIAL MESSAGES
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Please detach and return the bottom portion with your payment.See reverse side for additional information
'MAKE CHECKS PAYABLE TO: Account Number: 109523-503438
WATERLOO W TER WORKS Total Amount Due:` 142,75
' Amount Due After: N
149.76
P.D.Box 27
Waterloo,Iowa 50704 Billing Due Date; 09/06/2017
Phone:(319)232-6280 Amount Enclosed:
DD
Charles T&loan Mattson
105 Derbyshire Rd
Waterloo,IA 507014145 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO,IOWA 50704
updating and Indicate the change(s)on reverse side
WATERLOO W TER WORKS Phone:(319)232-6280
— www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O.Box 27
Waterloo,Iowa 50704 STATEMENT OF SERVICES
ACCOUNT SUMMARY
ustomer Name: Charles T&Joan Mattson Billing Frequency: quarterly
ccount Number: 109523-503438 Billing Date: 11/16/2017
ervice Address: 105 DERBYSHIRE RD Billing Due Date: 12/11/2017
Waterloo Water Works ServicesCHARGE SUMMARY
Water.. .. .. . ..... ... . ....... .. . . ...... $37.45 Previous Balance............................... $142.75
. ... .
. .......
Sales Tax. . . .. . .. .... . ........... .... ........ $2.63 Credits/Payments....... ........ ....... -$142.75
Water Works Subtotal.. .. . .. . . ... ....... ..... $40.08 Water Works Subtotal,......................... $40.08
City of Waterloo Services City of Waterloo Subtotal........................ $116.90
Sanitary Sewer. .. . . .. . . . ..... ... . .... .. . .. .. . $58.85 Total Current Service Charges.................... $156.98
Storm Water Fee. ... . . . . .. ... . .... ... ...... .. $8.25 Total Amount Due............. ..... $156.98
Yard Waste. ... ... . .. . . ........... . . . . .. . $9.00 Amount Due After 12/11/2017................... $164.70
Extended Yard Waste.. . . ... . ... .... .... .... . . $9.30
Garbage. .. . .... . . ... . . ... . ..... .. .. .. ... ... $31.50
City of Waterloo Subtotal ........ ..... ......... $116.90
rimilluff �. .-
08/08/2017 11/01/2017 212 Actual 228 Actual 16
SPECIAL MESSAGES
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Please detach and return the bottom portion with your payment.See reverse side for additional Information
MAKE CHECKS PAYABLE TO: Account Number: 109523-503438
WATERLOO WATER WORKS Total Amount Due: �` 156,98
P.O.Box 27
Amount Due After: 164.70 Waterloo,Iowa 50704 Billing Due Date: 12/11/2017
Phone:(319)232-6280 Amount Enclosed:
DD
Charles T&Joan Mattson
105 Derbyshire Rd
Waterloo,IA 507014145 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO.IOWA 50704
updating and Indicate the change(s)on reverse side
WATERLOO WATER WORKS Phone:(319)232-6280
www.waterloowater.org
325 Sycamore Street Paee 1 of 1
P.O. Box 27
Waterloo. Iowa 50704 STATEMENT OF SERVICES
ACCOUNTSUMMARY
ustomer Name: Charles T&Joan Mattson Billing Frequency: Quarterly
ccount Number: 109523-503438 Billing Date: 02/15/2018
ervice Address: 105 DERBYSHIRE RD Billing Due Date: 03/08/2018
Waterloo Water Works Services
Previous Balance............................... $156.98
Water. .. . .... . . .. . . . .... ... .. ... ....... .... $47.00
Credits/Payments.............................. $156.98
Sales Tax. .. . .. .. . . .. ....... ... . ..... ...... .. $3.29
Water Works Subtotal . .. .................. ... $50.29 Water Works Subtotal.............. ............ $50.29
City of Waterloo Services City of Waterloo Subtotal........................ $123.80
Sanitary Sewer. . . . . .. . . ... . .... . ....... ... ... $65.75 Total Current Service Charges.................... $174.09
Storm Water Fee. .. . . . .. .... ... . . . . .... . .. $8.25 Total Amount Due........... .... $174.09
Yard Waste.... . . .. . . ...... ..... .. ........... $9.00 Amount Due After 03/08/2018................... $182.64
Extended Yard Waste. ... ... . . ..... . ...... .. .. $9.30
Garbage. . . .. . . . .. .. .. . . ....... .. .. ..... ._ $31.50
City of Waterloo Subtotal .... ............ ... ... $123.80
11/01/2017 01/31/2018 228 Actual 247 Actual 19
sa -
i SPECIAL MESSAGES
m 4
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Please detach and return the bottom portion with your payment.See reverse side for additional information
MAKE CHECKS PAYABLE TO: Account Number: 109523-503438
WATERLOO WATER WORKS TotalAmountDue; 174.09
Amount Due After: 182.64
P.O.Box 27
Waterloo,Iowa 50704 Billing Due pate: 03/08/2018
Phone:(319)232-6280 Amount Enclosed:
■P
Charles T&Joan Mattson
105 Derbyshire Rd
Waterloo,IA 507014145 WATERLOO WATER WORKS
P.O.BOX 27
❑Please check box if contact information requires WATERLOO.IOWA 50704
updating and indicate the change(s)on reverse side
Nancy Higby
From: ELLA ELLIS
Sent: Wednesday, February 21, 2018 1:26 PM
To: Nancy Higby
Subject: 105 DERBYSHIRE �S
Follow Up Flag: Follow up
Flag Status: Flagged
Hi Nancy, /
You should be receiving a request for a refund for$55.8/0 for 105 Derbyshire for extended services they had request to
stop back in 2016. 1 have figure out her amount and it is okay to process. It will be from a Joan Mattson.
Thanks.
Ella
i
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
$ 1,678.08 plus est. shipping costs of $ 85.00 to pay for or purchase
Staff requests the above amount to purchase two (2) flat file cabinets, one base and work-
surface top to properly archive airport Record Drawings.
This purchase or expenditure is being made because:
Staff has decades of Record Drawings or Blueprints that need to be properly archived.
Vendor selected for this purchase: Storey Kenworthy office supplies of Des Moines
❑ Bids or written quotes were taken on this purchase, as follows:
FX Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates): N/A
Please check the following box(es) as appropriate to describe the funding for this expense:
�X General Fund ❑ Road use Tax ❑ Sewer F� Sanitation
Bonds Federal/other grants F_J Other(specify)
This expenditure is to be coded to the following budget line-item:
010 - 29 - 7700 - 1561 (Office Supplies & Minor Equipment)
(Fund - Department-Activity-Account Number) (Project Code)
in whi the budgeted amount is $ 5,500.00 ✓
a d t e current available balance is $ 4,161.80 ✓
Re pe ly s tnitted,
(Sign ture D ad or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\03 07 2018 Purchase of Flat File Cabinets(Mar 2010)
City Clerk Use Only
E
Committeeroval 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 Department to expend
$ 1,785.00 plus est. shipping costs of $ 0.00
to pay for or purchase
1 Year preventative maintenance service contract for seven 7 Zoll X series cardiac
monitor/defibrillators
This purchase or expenditure is being made because:
Monitors will have preventative maintenance by Zoll biomedical technitians to ensure all
diagnostics are functioning within permitted limits.
Vendor selected for this purchase: Zoll
Bids or written quotes were taken on this purchase, as follows:
QX Bids or quotes were not taken on this purchase because:
These services are exclusive to the vendor the product was purchased from.
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 0 Sewer 0 Sanitation
1-1 Bonds 0 Federal/other grants F_� Other (specify)
This expenditure is to be coded to the following budget line-item:
010-12-1410-1551
(Fund - Department-Activity -Account Number) (Project Code)
in which the budgeted amount is $ 148,000.00
and the current available balance is $ 6A-48M-el-
S`f45'7
espec ully mit d,
/g
(Signature ept. Hea or Designee) Date (Signature Finance Dept. Review) Date
Sent over 031218.
i
__...,. _.. .... _ a. ..,,
x -
� 2 4
y
w
I.
L t.
x
zOLL ZOLL Medical Corporation
269 Mill Road
Chelmsford,MA 01824-4105
PREVENTIVE MAINTENANCE CONTRACT (978)421-9655 Main
(800)348-9011
Waterloo Fire Rescue(Customer#5222) (978)421-0022 Fax
Attn: Jason Hernandez (319)291-4460 / jason.hernandez@waterloo-ia.org
Bill To: Waterloo Fire Rescue Ship To: Waterloo Fire Rescue
425 E.Third St. 425 E.3rd St.
Waterloo, IA 50703 Waterloo, IA 50703
From:Kerry Bishop QUOTATION: 00023751
Service Contracts Representative Quote Date: March 12, 2018
(800)242-9150 x9766/kbishop@zoll.com Quote Pricing: Valid for 60 Days
PM Contact: -
X Series
Part No _ Descri tion_ _ A_ _Contract Dates QtL_ Price Adj.Price Ext.Price
8889-000011 1 Year,1 Preventive Maintenance Per X Series 06/01/2018 7 $255.00 $255.00 $1,785.00
Once an order for Preventive Maintenance is placed,ZOLL to
Technical Support Contracts Department will contact the 05/31/2019
customer to arrange the shipment of a loaner unit to the
customers facility for return of customer's unit or at ZOLL's PM Due:
discretion,send a ZOLL certified Biomed Technician on site. June
Serial Number(s):AR14F008723,AR14F008724,
AR14F008726,AR14F008727,AR14F002728,AR14F008729
&AR14F008733
TOTAL: $1,785.00
COMMENTS:
1.Applicable tax will be added at the time of invoicing.
2.Payment terms are Net 30.
TERMS&CONDITIONS:The terms and conditions of this contract are set forth in the attachment.By signing this contract,Customer acknowledges
having read the terms and conditions and agrees to be bound by them.
ZOLL Medical Corporation Waterloo Fire Rescue
Signature: Authorized Signature:
Name: Kerry Bishop Print Name TAS 3" Lv'ta,n Ea Z,
Title: Service Contracts Representative Title: 14-1 15'Ca0^- V'1C-O tC.✓t7- S')e lLJi 5OCL
Date: Date:
Page 1 of 2 P.O.#
ZOLL Medical Corporation Quote No:000Z3751
PREVENTIVE MAINTENANCE CONTRACT for Waterloo Fire Rescue
Preventive Maintenance Terms and Conditions
1. Preventive maintenance("PM")will be invoiced upon ZOLL's receipt of quote with an authorized signature(the"PM Contract")and,if available,
a purchase order.
2. Any PMs that remain unused as of the end of a one-year PM contract will be forfeited and no monies will be refunded to the customer.Any PMs
that remains unused as of the end of the initial term of the Multi-year PM Contract will automatically roll over into the next year of the PM
Contract. Any PMs that remains unused as of the end of the second and subsequent years of the PM Contract,will be forfeited and no monies will
be refunded to the customer.
3.If the customer purchases new ZOLL equipment,unused PMs will be transferred to the new equipment at the end of the factory warranty.
4. If WILL determines during the course of performing PM that a repair is required and the device is not covered under warranty,WILL will request
customer authorization in order to repair the device.
S. Upon the customer's request,a loaner will be provided free of charge pursuant to ZOLL's Loaner Policy.The loaner will be provided for use while
the device is being serviced by ZOLL.
6. It is the customer's responsibility to ensure devices covered by the PM Contract are available for Preventative Maintenance at the scheduled
times.
Page 2 of 2
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 1,782.00 plus est. shipping costs of $ to pay for or purchase
One Turfco Edge-R-Rite II landscaping edger.
This purchase or expenditure is being made because:
To enhance the appearance of bunkers sidewalk edges flower beds, and tree rings
at the municipal golf courses.
Vendor selected for this purchase: Turfco MFG. INC.
�X Bids or written quotes were taken on this purchase, as follows:
Turfco MFG. INC. Minneapolis, MN $1,782.00
Turfwerks INC. Johnston, IA $1,980.00
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
FX Bonds F—I Federal/other grants EI Other(specify)
This expenditure is to be coded to the following budget line-item:
416-37-4120-2113
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 100,000.00
and the current available balance is $ 2,526.06✓
Respectfully submitted
(Signature D t e d or Designee) Date (Si nature Finance Dept. Review) Date
K:\shared good ies\forms\Expenditure Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 1,600.00 plus est. shipping costs of $ to pay for or purchase
Golf course supplies from Standard Golf.
This purchase or expenditure is being made because:
to replace old flags, flagsticks, broken ball washers, worn out cups and other
miscellaneous golf course equipment.
Vendor selected for this purchase: Standard Golf, Cedar Falls IA
❑ Bids or written quotes were taken on this purchase, as follows:
FX Bids or quotes were not taken on this purchase because:
Standard Golf gives the City 25% off retail which is lower than any prices around.
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 F—] Sanitation
❑ Bonds Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-37-4120 1567
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 4,592.00 '
and the current available balance is $ 3,976.70 '
Re ectfully submitted,
(Signature De ad or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Standard Golf PreauthAs(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 6,444.12 plus est. shipping costs of $ N/A to pay for or purchase
One (1) Hotsy stationary hot water LP fired pressure washer for new wash bay in
chemical storage building
This purchase or expenditure is being made because:
New wash bay doesn't currently have any type of hot water pressure washer to clean
parts and equipment
Vendor selected for this purchase: Hotsy Cleaning Equipment, Denver IA
Fx Bids or written quotes were taken on this purchase, as follows:
Hotsy Cleaning Equipment, Denver IA $6444.12
Hotsy Equipment Co., Humboldt, IA $6885.00
❑ 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 EI Road Use Tax ❑ Sewer F—] Sanitation
Fx Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
415-37-4100-2151
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 100,000.00
and the current available balance is $ 9,512.08
Respectfully submitted„
(Signature D ead or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodies\forms\Pre-Authorization Hotsy Chemical Building(3).xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer Department to expend
$ 7.303.31 plus ext. shipping cost of $ 0.00 to pay for or purchase
Remove and Install all boiler tubes, check for leaks and assemble boiler for operation for#I Boiler
This purchase or expenditure is being made because:
#1 boiler leakiniz water, leaking from bad boiler tubes.
Vendor selected for this purchase:
Brecke Mechanical Contrators
Bids or written quotes were taken on this purchase, as follows
Brecke Mechanical Contrators with a quote of$7,303.31 for boiler re-tube WBC Mechanical Inc
with a quote of$11,891.00 for boiler re-tube. Recommend Brecke Mechanical Contrators with a
quote of$7,303.31. City Strategic Plan, Strategy 4.5 Maintain and develop community services and
city facilities that support quality of place.
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: RRoad Use Tax: Sewer: Sanitation:
Bonds: ❑Federal/other grants: E]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 $ 14.1-.137-.8
Respectfully submitted,
(Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date
4140 F Avenue NW &Z11921 Sherrill Road
Cedar Rapids,Iowa 52405Dubuque,Iowa 52002
United States / 47#1A .W7 United States
(319) 396-7055 once ' once (563) 583-4852
(800)728-7055 Toll-Free Toa-Fee (800)728-7055
(319) 396-9390 Far MECHANICAL CONTRACTORS Fox (563)845-7484
info@brecke.com info@brecke.com
www.brecke.com www.brecke.com
March 2,2018
Waterloo Water Pollution Control Facility
Attn:Steven Isenhouer
3505 Easton Avenue
Waterloo, IA 50702
RE: Boiler repairs
We are pleased to present the following proposal for repairs to the boilers at 3505 Easton Avenue.All listed
is individual "per boiler" pricing.
Work to include:
Boiler re-tube
• Clean and vacuum existing boiler tubes
• Remove all tubes from boiler and remove from jobsite
• Supply and install new SA17BA-12 gage boiler tubes
• Hydro boiler to verify leak free
• Assemble boiler for operation
Cost of$6,941.87 plus applicable tax
Replace rear-breechina casket
Cost of$361.44 plus applicable tax
Total cost of labor and materials:$7,303.31 plus applicable tax
We thank you for the opportunity to present this proposal.If you have any questions or should require
additional information,please feel free to contact our office.
AUTHORIZED SIGNATURE.
0."
Prices quoted herein are firm prices provided this proposal is accepted within 30 days from the date of this quotation.Proposal accepted
after this date is subject to adjustment at the option of either party.If project materials are not used within 30 days of receipt,we will
invoice the cost of materials prior to use.Materials will be stored at customer site.If site conditions do not allow storage,we reserve the
right to iniyoice any storage cost.Prices do not include any state taxes where applicable.
ACCEPTANCE OF PROPOSAL-THE ABOVE PRICES,SCOPE OF WORK AND WARRANTY POLICY ARE ACCEPTED AND B.G.
BRECKE,INC.IS AUTHORIZED TO PERFORM THE OUTLINED SCOPE OF WORK PAYMENT TERMS ARE NET 30 DAYS.B.G.
BRECKE INC.RESERVES THE RIGHT TO TAKE ALL ACTIONS NECESSARY TO PROTECT ITS INTEREST IN THE EVENT OF ACCOUNT
DELINQUENCY
DATE OF ACCEPTANCE PURCHASE ORDER NUMBER
SIGNATURE
NAME TITLE
THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION AND IS INTENDED ONLY FOR THE COMPANY NAMES.ANY USE,
COPYING OR DISCLOSURE OF INFORMATION OUTSIDE OF THE NAMED COMPANY IS STRICTLY PROHIBITED.
HVAC • Building Automation Systems • Commercial Refrigeration • Food Service Equipment • Heating-Hydronic and Steam System
Specialists • Boller Repair and Replacement • Pre-Fabrication • Pipe Fitting/Process Piping/Welding/Fabrication • Authorized'PP'and
'Fr Stamp Holder • Industrial Millwright Services • Plumbing • Excavation-Water Service and Sewer Installation,Repairs and Replacement
Water Treatment-CoolingTowers,Boilers and Water Softeners • Design Build Projects for Mechanical Systems • PD3D/CAD/Engineered
Drawings • Consulting/Project Management • Maintenance Contracts Available • Provide 24 Hour Service,7 Days a Week
Terms and Conditions
Performance:B.G.Brecke,Inc.(hereto referred to as Contractor)shall provide services under this agreement,and the price subject to credit approval
by Contractor,and also contingent upon strikes,accidents,fires,and the inability to procure materials from the usual sources of supply,or upon any
like or unlike cause beyond the control of Contractor. In the event of account delinquency, Contractor may delay performance or,as its option,
renegotiate prices,terms and conditions with the customer.If Contractor and customer are unable to agree on such revisions,this agreement shall be
cancelled without any liability,other than the customer's obligation to pay for services rendered by Contractor to the date of cancellation. Services
will be performed during normal working hours with any overtime or emergency calls billed separately unless otherwise stated.
Preventive Maintenance:Labor,travel and materials to perform preventive tasks outlined in schedules and equipment listings.
Full Coverage Service: Provide required labor and materials for repairs on covered equipment. At our option we may utilize used,reconditioned or
new materials.Equipment covered under this agreement will be subject to our inspection within 30 days of the agreement date. If the equipment is
inaccessible or cannot be tested due to climate conditions,said equipment will be tested at such time conditions allow operation. Contractor will
provide a report indicating the condition of the equipment not operating properly along with a proposal for repairs. Upon approval of proposal,
Contractor will make outlined repairs.If our proposed repairs are not accepted,we will exclude the equipment from the maintenance agreement.
Payment and Taxes: Customer shall pay Contractor invoices net 30 days of invoice date. Interest of 1 'S%on unpaid balances may be charged.
Customer shall pay,in addition to the agreement price,all taxes,or acceptable tax exemption certificate shall be filed with Contractor.
Insurance:Contractor agrees to cant'insurance in the following minimum amounts:
a. Commercial General Liability $1,000,000 per occurrence
b. Automobile Liability $1,000,000 CSL
c. Workers Compensation Statutory Limits
Asbestos.Mold and Hazardous Materials: Contractor's services in connection with this agreement expressly excludes any identification,abatement,
cleanup,control,disposal,removal or other work connected with asbestos,mold,polychlorinated biphenyl (PCB)or other hazardous materials.Shall
Contractor become aware of the presence of such materials,Contractor may immediately stop work in the affected area and shall notify customer.
Customer will be responsible for all action including payments necessary to correct the condition in accordance with all applicable laws and
regulations.
New Eouioment Warranty: Contractor shall pass on any and all warranties provided by the original manufacturer of the equipment we install.Such
warranty,if any, is specified in the owner's manual provided by the original manufacturer,and is normally limited to the actual part that becomes
defective,not the labor to replace the part.The customer is responsible for reading and understanding this matter for their specific situation.Contractor
warrants its original installation labor on the new equipment to be free of defects due to workmanship for a period of twelve months from the date of
completion of said installation.Labor warranty is limited to the normal straight time labor rate,excluding any overtime or weekend emergency costs.
No other costs are covered by this warranty policy.
Service Cal Warranty:All service labor performed by Contractor is warranted for a period of ninety(90) days from the date of that service.Warranty
labor is limited to the normal straight time labor rate, excluding any overtime or weekend emergency costs. All parts purchased and installed by
Contractor carry the original manufacturer's warranty, which Contractor passes on to the customer. For parts and materials purchased by the
customer,but installed by Contractor,the manufacturer's warranty is the responsibility of the owner.
�orranlaios:: mittnAll claims for warranty must be made to Contractor directly,as Contractor will not accept warranty claims from third parties.
Contractor assumes no liability for losses arising from warranty issues other than those outlined in this policy. Contractor reserves the right to change
this policy,without notice,at any time,at its sole discretion.
Indemnification:to the fullest extent permitted by law,customer shall indemnify and hold harmless Contractor,its agents and employees from and
against all claims,damages, losses and expenses,including but not limited to attorney's fees,arising out of or resulting from performance of work
hereunder, provided that such claim, damage,loss or expense is caused in whole or in part by an active or passive act or omission of customer,
anyone directly or indirectly employed by customer or anyone for whose acts customer may be liable,regardless of whether it is caused in part by
the negligence of Contractor.
goons:This agreement does not include responsibility for design of the system unless otherwise stated,repair and replacement of non-maintainable
parts of the system such as unit cabinets, shells, ductwork, hydronic piping structural supports, boiler refractory materials and shells,storage tanks,
obsolescence,removal and reinstallation of valve bodies and dampers,repair or replacement necessitated by freezing weather,damage to piping,
wiring, equipment or systems from removal of floors,walls or ceilings to complete proposed scope of work, damage or malfunction resulting from
corrosion or erosion on the water side of the equipment or caused by scale or sludge except where water treatment services are provided by
Contractor,removal of moisture or oil in pneumatic tubing and piping,electrical power failure,low voltage, burned-out main or branch fuses, low
water pressure,vandalism,misuse or abuse of the system(s), negligence of others (including customer), failure of customer to properly operate the
system(s),requirements of governmental,regulatory or insurance agencies,or other beyond control of Contractor.
MiE�,f-tT.R1 NICA i.�
PROPOSALBY
WBC MECHANICAL, INC.
1801 FALLS AVENUE
WATERLOO, IOWA 50701
(319)233-6101 OR (800)495-6461
FAX (319)233-6102
SUBMITTED T0: WATERLOO WASTEWATER DATE: 3/15/18
ATTENTION: BRIAN RATH PHONE: 319-291-4553
ADDRESS: 3577 EASTON AVENUE PROPOSAL#DR031518WWW
WATERLOO, IA 50703
SUBJECT OR JOB NAME: BOILER#1 RETUBE
WBC Mechanical, Inc. does hereby submit specifications and estimates to furnish all labor, materials,
trucks, tools, and equipment to:
• Re-tube one (1) Burnham Boiler with 128 new 2" 12-gauge tubes. (WBC will provide 4 tubes,
customer responsible for the rest of the tubes).
• Reseal back breaching.
• Install new rear plug.
• Install new insulation on front cover.
• Start-up boiler and hydro test.
COST: $11,891.00
NOTES:
• Any delays not caused by WBC will be billed additionally.
• Work will be completed during normal working hours Monday-Friday 7:00-3:45.
NO. 2 of 3 PAGES
PROPOSAL#DR031418WWW
* Bid does not include inspection fees. If applicable, fees will be added.
* This proposal does not include any repairs for concealed defects that were not detected and
addressed prior to beginning the project. Any extra work will be performed only after an
additional cost is agreed to by the owner and the contractor.
* No asbestos removal or re-insulating is included.
* The contractor shall make an operating test of the system and relating equipment.
* All electricity or fuel necessary for use in testing and adjusting for the operation period will
be supplied by the owner.
t
THE ABOVE ARE APPLIED IF APPLICABLE TO THE WORK PROPOSED
GUARANTEE:
The Contractor shall repair any defects in their work that may develop due to faulty workmanship by
the Contractor for a period of one (1) year following acceptance of the completed work. This warranty
is limited to only the repair of the defect in the Contractor's work. Replacement of parts and
equipment that are faulty will be limited to the warranty provided by the equipment manufacturer.
QUALITY ASSURANCE:
A) Contractor shall use only skilled workmen who are experienced with materials and methods
associated with the type of work quoted.
B) All materials and methods of this project shall comply with the following: ASHRAE Handbook,
Underwriters, State of Iowa Codes, CSD-1 Code, ASME and National Board.
C) Contractor shall use all means necessary to protect materials before and during installation and
complete all repairs or replacements in the event of damage.
NO. 3 of 3 PAGES
PROPOSAL#DR031418W W W
WE PROPOSE HEREBY TO FURNISH LABOR AND MATERIALS—COMPLETE IN ACCORDANCE WITH
ABOVE SPECIFICATIONS, FOR THE SUM OF $11,891.00.
ELEVEN THOUSAND EIGHT HUNDRED NINETY-ONE DOLLARS&00/100 PLUS TAX IF APPLICABLE
TERMS:
DOWN PAYMENT 50%
UPON COMPLETION 50%
BECAUSE OF THE VOLATILITY OF STEEL PRICES, IF ANY MATERIAL IS SUBJECT TO A SURCHARGE BY
THE SHIP DATE, THE SURCHARGE WILL BE PASSED ON TO THE CUSTOMER AT COST.
TERMS: NET 30 DAYS
AUTHORIZED SIGNATURE Oct( '4�
David Roman
NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN ----10---- DAYS.
The required down payment must be paid in full before any material is ordered for the Job.
e
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner
according to standard practices. Any alteration or deviation from above specifications involving extra
costs will be executed only upon written orders, and will become an extra charge over and above this
estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. Owner
will carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's
Compensation Insurance.
ACCEPTANCE OF PROPOSAL—The above prices, specifications and conditions are satisfactory and are
hereby accepted. WBC Mechanical is authorized to do the work as specified. Payment will be
completed as outlined above.
DATE OF ACCEPTANCE:
COMPANY:
BY:
PLEASE SIGN AND RETURN ONE COPY TO US IF THIS PROPOSAL IS ACCEPTED
City Clerk Use Only
iFinance Committee
Approval Date 3�Ick/IF,
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the, Sewer Department to expend
$ 2.373.62 plus ext. shipping cost of $ 500.00 to pay for or purchase
Two IBC Containment Units for ferric chloride totes
This purchase or expenditure is being made because:
Need spill containment for ferric chloride totes
Vendor selected for this purchase.
Grainger
X�Bids or written quotes were taken on this purchase, as follows
Grainger with a Quote of$2 373 62 plus freight Campbell supply Co. with a guote of$2,430.00 plus
freight. Recommend Grainger with a quote of$2,373.62 plus freight City Strategic Plan Strategy
4.5 Maintain and develop community services and city facilities that support quality of place.
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:
ElGeneraf Fund: Road Use Tax: ®Sewer. Sanitation:
®bonds: FiFederalrothergrants: [—]Other(specify):
This expenditure is to be coded to the following budget line-item:
520-14-5200-1571 �a
(Fund - Department-Activity-Account Number) (Project Code) �+
in which budgeted amount is $ 12,500.00 aLOUD / 500 L
and the current available balance is $ 1,293.59 + X000
Respectful�l}y,sub'miAtt�eed-,
(Signature Dept. Head Or Desi ee) Date (Signature Finance
Dept. Review) Date
City Clerk Use Only
Finance Committee
i
Approval Date d— -
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
$ 7.200.00 plus ext. shipping cost of $ 500.00 to pay for or purchase
Pumps two Pulsafeeder Blackline
This purchase or expenditure is being made because:
Pump purchase are for injecting Ferric chloride into dewatering building sludge to
control hydrogen sulfide gas release.
Vendor selected for this purchase:
Campbell Supply Co.
Bids or written quotes were taken on this purchase, as follows
Campbell Supply Co two Pulsafeeder pumps quote price of$7,200.00 plus freight Electric Pump
two Pulsafeeder pumps quote price of$7,908.00 plus freight. Recommend purchase of Campbell
Supply Co. two Pulsafeeder pumps quote price of$7,200.00 plus freight. City Strategic Plan,
Strategy 4.5 Maintain and develop community services and city facilities that support quality of
place.
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: Road Use Tax: Sewer: Sanitation:
Bonds: Federal/other grants: ❑Other(speclfy):
This expenditure is to be coded to the following budget line-item:
520-14-5200-1571
(Fund - Department-Activity-Account Number) (Project Code)
in which budgeted amount is $ 400,000.00-'
and the current available balance is $ 141.137.67`
Respectfully submitted,
11to�L�I I`� 2ol�s Yj4dan,/A1 (f�c.c,�u� 314-18
(Signature Dept. Head Or Designee) Date (Sighature Finance Dept. Review) Date
C-11AMPBELL S
INDUSTRIAL : . . , . SUPPLIES
IOWA FALLS CEDAR RAPIDS SIOUX CITY WATERLOO
710 S.Oak 2127 Nath Towne Ln.,NE 2650 Bridgeport Dr. 325 W. 11th St.
Iowa Falls,IA 50126 Cedar Rapids IA 52402 Sioux City,IA 51111 Waterloo,IA 50702
(641)648-4621 - FAX(641)648-4624 (319)395-0991*FAX(319)395-0003 (712)252-6120`FAX(712)252-6135 (319)234-6613'FAX(319)234-1401
800 782-5134 800 798-8665 (800)252-6120 (800)891-3044
website address: www.campbellsupplyco.com e-mail a ss:camp Il@campbellsupply.com
BILL CITY WATERLOO WATER POLL SHIP CITY WATERLOO WATER POLL
TO: CONTROL TO: CONTROL
3505 EASTON AVE. 3505 EASTON AVE.
WATERLOO IA 50702 WATERLOO IA 50702
ATTN: Quote Number: 2042146-0000-02 Quote Date: 03/12/18
QUOTE TYPE PL'LSA—�TTMPS * * QUOTATION * * Mage Number : 1
ORDERED
ITEM CODE AND DESCRIPTION Ulm UNIT PRICE AMOUNT
QUANTITY
2 *PUL MD3GPPPNIA—XXX EA 3600.0000 7200.00
PUMP PULSAFEEDER BLACKLINE
**PLUS FREIGHT***
******************
QUOTETOTAL 7.200.00
I
RHONDA DAVIS JAKE RASBECK
OUTSIDE SALES
INSIDE SALES
PRICES SUBJECT TO CHANGE UPON MANUFACTURER'S PRICE INCREASES.
BRIAN RATH
From: Maintenance Foreman WMS
Sent: Wednesday, March 14, 2018 7:19 AM
To: BRIAN RATH
Subject: FW: pulsafeeder pump
Importance: High
;eaoe Qa&vttV
Jesse Gaherty
Maintenance Foreman
City of Waterloo WMS
3505 Easton Ave.
Waterloo IA, 50702
Phone (319)-291-4553
Fax (319)-291-4523
From: Marquita Utter [mailto:mutterCalelectricl2ump com]
Sent: Monday, March 12, 2018 2:50 PM
To: John Miller; Maintenance Foreman WMS
Subject: RE: pulsafeeder pump
Importance: High
Hi Jesse,
The price on the Pulsafeeder pumps you are looking for is$3,954.00 per pump plus freight and they could ship from the
factory on Wednesday if we get the order in first thing in the morning. Now if you can wait until next Monday to have
them shipped your cost is$3,654.00 per pump plus freight.
Thanks,
Marquita Utter
Electric Pump& MC2
Inside Sales
mutter0electricpump.com
Direct Office: 515-557-9402
Main Office: 515-265-2222 ext 1211
Toll Free: 800-383-7867
Fax: 515-557-9403
4280 E 14th Street * Des Moines * IA* 50313
2014th Ave SW * New Prague * MN * 56071
-
Ac
ELECTRIC PUMP
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 Traffic Operation: Department to expend
$ 2,429.65 plus est. shipping costs of $ to pay for or purchase
1 - 30 Ft. Valmont black steel street light pole and 1 - Holophane LED Fixture
This purchase or expenditure is being made because:
To replace damaged pole and fixture at Wagner Rd. &Airline Hwy.
Vendor selected for this purchase: Van Meter
FX Bids or written quotes were taken on this purchase, as follows:
Van Meter Waterloo, IA $2,429.65
Crescent Electric Waterloo, IA $2,451.77
❑ 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 1X Road Use Tax Sewer Sanitation
❑ Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
266-17-1720-1521
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 28,800.00 ✓
and the current available balance is $
Res ectfully submitted,
1APA4 Z' .rAA
:C-71cf 11'Q
((Signature Dept. ead or Designee) ate ( i n ture Finance Dept. Review) Date
K:\shared goodies\forms\2018-March-Expenditure Pre-Authorization-Traffic-Van Meter-Steel Pole&Fixture-Wagner&Airline damage
claim-$2,429.65-266-17-7120-1521.xis(Mar 2010)
Budget Amendment Descriptions for 3/19/2018 Finance Committee Meeting Agenda:
1. Approve the budget amendment to spend $4,947 in additional damage claim revenue received
for traffic signs, as submitted by Traffic Operations.
2. Approve the budget amendment to record additional membership revenue expected for the
SportsPlex and budget to use that revenue to support operations.
3. Approve the project budget for FAA grant number 3-19-0094-046 for the Obstruction
Mitigation/Reconstruction of Terminal Apron Phase 4 in the amount of$867,879 in federal
funds and matched with $74,140 in passenger facility charges, for total expenditures of
$942,019.
4. Approve the budget amendment to record anticipated Lead Paint Removal Grant revenues and
expenditures for the fiscal year ending June 30, 2018 in the amount of$417,437.14.
Please use this for project budget descriptions on Finance agenda. Do not need to include this cover
sheet in the Finance Committee packet.
Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY
Finance CyMmittee approval required?
YES_ NO .�
If so,date approved �i-1 '1-
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 2018 submitted by the Traffic 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
266 17 7120 387 Damage Claimis 4,947.00 266 17 7120 1577 Signs 4,947.00
TOTAL $4,947.00 TOTAL $4,947.00
This amendment is being requested because:
Insurance payment transfer for charges to replace wayfinding sign from Signs& Desgins damaged by semi.
Prior Committee Actions (Dates):
dl�4 �Ze' - 3-1d /d
(Signature De . Head or Designee) Date r (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\2018-March-Line Item Amendment-Traffic-decrease 3873(damage claim)-increase 1577-$4,947.00.xls(Apr 2003)
Completed forms should be routed directly to the Finance Dept. FINANCE DEPT ONLY
Finance Cpmmittee 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 2018 submitted by the Leisure Services Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES(INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct# Acct Name Proj Code Amount and Dept Activity Acct# Acct Name Proj Code Amount
010 37 4180 3835 Memberhsip Fee 40,000.00 010 37 4180 1319 Other Prof. 3,000.00
010 37 4180 1390 Other Cont 3,000.00
010 37 4180 1513 Chemiclas 2,000.00
010 37 4180 1567 Rec Equipment 10,000.00
010 37 4180 1371 Bldg&Grounds 20,000.00
010 37 4180 1579 Uniforms 2,000.00
TOTAL $40,000.00 TOTAL $40,000.00
This amendment is being requested because:
Prior Committee Actions(Dates):
(Signature Dept. Head or a gnee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\march 2(Apr 2003)
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
City Clerk Use Only
Finance Committee 3/
/`I1et
Project Name (from page one) Obstruction Mitigation/Reconstruct Terminal Apron Phase 4 A �v — " u
Department No. project will be budgeted under 29 To be assigned by the Finance Dept.
Activity kto. project will be budgeted under 7750/7755 Project No p2 OO
Subproject No. 416
(Each column should only include amounts by fund)
Fund: Fund:
_291 _291_ Fund: Fund
Total
REVENUES:
7750 7755
3000 Cash on Hand $
3112 Local Option Sales Tax -
3350 Federal Grant 867,879.00 867,879.00
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 -
3750 Sale of Bonds -
3456 PFC 74,140.00 74,140.00
TOTALS $ 867,879.00 $ 74,140.00 $ $ $ 942,019.00
EXPENDITURES: 7750 7755
2103 Engineering & Consulting $ 171,990.00 $ 19,110.00 $ 191,100.00
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
27 Streets& Roadways -
2199 Non-participating Misc -
2169 Airfield Improv-Taxiway C 200,619.00 200,619.00
2169 Airfield Improv 495,270.00 55,030.00 550,300.00
TOTALS $ 867,879.00 $ 74,140.00 $ $ - $ 942,019.00
aao $0.00
(Signature De r
ead) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Project Budget Worksheet Obstruction Mitigation—Terminal Apron Ph4.xls\Page 2(Constr Proj) (Mar 2010)
PROJECT BUDGET WORKSHEET -ALL PROJECTS
PAGE ONE
Pro}ect Name Obstruction Mitigation/Reconstruct Terminal Apron Phase 4
City Contract No. To be assigned by the Finance Dept.
Project Manager Keith Kaspari Project No
Project Budget Total $ 942,019.00 Subproject No.
1. How will this project be funded?
A. Federal Grant Yes OX No 0 CFDA# % Paid by federal grant 90.009f+
Grant Name FAA AIP-46 Grant Agreement Number 3-19-0094-046
B. State Grant Yes = No FX % Paid by state grant
Grant Name Grant Agreement Number
C. City Match Source of Funding % Paid by City
D. Other Entities Yes F—X ] No % Paid by other entity 10.00%
Name PFC Revenue
Done None
2. Attach copies of any grant agreements that will fund the project(REQUIRED) ❑ IX
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? ❑ El
If yes, have you attached authorization to purchase real property to this document? ❑ El
4. Will this project include any non-participating expenses, such as:
A. Stormwater permit fees ❑ FX
B. Publication, or printing costs ❑ IF
C. Others, list ❑ �X
5. Does this project cover any regular full-time salaries or benefits? F] 171
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
Project includes clearing trees in the runway protection zone and reconstruction of the terminal apron -phase 4.
This grant also includes reimbursement from the FAA for the advancement of funds used for the local match for AIP
Grant#45, Taxiway C,project(FY-17) by the City.
Pagel sawst be attached and signed.
K:\shared goodies\forms\Project Budget Worksheet Obstruction Mitigation_Terminal Apron Ph4.xls\Page 1 All Projects (Mar 2010)
Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY
FinanceC mittee approval required?
YES_ NO
I/ 4p�
If so,date approved: `(`` //V
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 6/30/2018 submitted by the Community Development Department 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
224 32 5853 3350 Federal Grant LED18 328,517.05 224 32 5853 1346 Travel LED.TRVL 17,950.00
224 32 5853 1561 Office Supplies LED.ADMN 1,100.00
224 32 5853 2106 om uter E ui men LED.ADMN 6,400.00
224 32 5853 1390 Other Contractual LED.MAW ,900.00
224 32 5853 2120 Minor Equipment LED.EQUP 36,130.00
224 32 5853 1390 Other Contractual LED.C �18,025.00
224 32 5853 1390 Other Contractual LED.TRNG 12,000.00
224 32 5853 1327 Residential Rehab LED.REHAB 129,690.00
224 32 5853 1327 Residential Rehab LED.RELO 10,000.00
224 32 5853 1111 Salaries LED.ADMN 87,303.16
224 32 5853 1113 Longevity LED.ADMN 340.20
224 32 5853 11211 FICA LED.ADMN 6,678.69
TOTAL $328,517.05 TOTAL $328,517.05
This amendment is being requested because:
Community Development has received a Lead Hazard Control Grant from Department of Housing effective December 1, 2017.
Salaries and charges will be applied to the Lead Grant and funds need to be distributed accordingly.
Prior Committee Actions(Dates):
Signatureept. Head or Designee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\2018 Lead Grant Budget Amendments pt(Apr 2003)
Completed forms should be routed directly to the Finance Dept. FINANCE DEPT.ONLY
Finance�ommittee approval required?
YES r/ NO
If so,dale 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 6/30/2018 submitted by the Community Development Department 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
224 32 5853 3350 Federal Grant LED18 88,920.09 224 32 5853 1122 IPERS LED.ADMN 7,796.17
224 32 5853 1123 Life&Disability LED.ADMN 377.15
224 32 5853 1131 Health Insurance LED.ADMN 20,746.77
224 32 5853 1327 Residential Rehab LED.HLTHY 60,000.00
TOTAL $88,920.09 TOTAL $88,920.09
This amendment is being requested because:
Community Development has received a Lead Hazard Control Grant from Department of Housing effective December 1, 2017.
Salaries and charges will be applied to the Lead Grant and funds need to be distributed accordingly.
Prior Committee Actions(Dates):
MAnature D t. Head or Designee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms12018 Lead Grant Budget Amendments p2(Apr 2003)