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Home My WebLink AboutApproved Documents - 8/6/2018 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010 03 8400 1346 TRAVEL REQUEST FY AL BUDGETED SSIJe-) CITY OF WATERLOO EXPENDED YTD 6:3s- THIS 3S THIS REQUEST ams LEFT AFTER THIS REQUEST �p 1 DATE 7/ Original-Clerk/Finance Co - Department NAME(S) AND POSITION(S): DATE: Michelle Weidner, Chief Financial Officer 8/3/2018 NAME OF CLASS/ MEETING: DESTINATION: League of Cities Annual Conference Council Blufgs, IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING: 9/12/2018 9/14/2018 9/12/2018-9/14/2018 PURPOSE OF TRAVEL/TRAINING: Attend League of Cities Annual Conference WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: x CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: BUDGET LINE ITEM: 010 03 8400 1346 LODGING TAXI x GRANT REIMBURSABLE 50.00 MEALS PARKING YES NO 205.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION 30.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ 285.00 TOTAL: $ 285.00 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 5-�.-18 S /L /I 6 DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1100-1346 TRAVEL REQUEST FY _2019_ BUDGETED "vt'- tMd � CITY OF WATERLOO EXPENDED YTD 13 fol THIS REQUEST 3�p'3 vv LEFT AFTER THIS 3 y REQUEST +f z m2 t jam/ DATE ?y/v / Original-Clerk/Finance Co -Department NAME(S) AND POSITION(S): DATE Captain Dave Moh/is 08/01/18 NAME OF CLASS/ MEETING: DESTINATION: Ames, Iowa Law Enforcement Leadership Series Conference DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Return Date: DATE(S) OF MEETING: September 10th, 2018 September 11th, 2018 September 10th-11th, 2018 PURPOSE OF TRAVEL: Lt. Cirksena is requesting authorization to send Captain Dave Mohlis to the Law Enforcement Leadership Series Conference in Ames, Iowa on September 10th thru 11th, 2018. The conference will include school threat assessments, statewide drug trends, death investigations and a panel discussion on recruiting and how federal, state, county and municipal agencies of all sizes are overcoming the recruitment challenge. Two days of breakfast and the first day lunch are included in the registration. A city vehicle will be needed for this travel/training. 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: $150.00 LODGING .00 Uniforms x GRANT REIMBURSABLE $38.00 MEALS .00 Parking YES NO $125.00 REGISTRATION .00 AIRFARE x REQUIRED CERTIFICATION $50.00 Fuel/mileage .00 Dues YES NO TOTAL FOR ALL: $ 363.00 TOTAL: $ 363.00 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 DATE DATE City Clerk Use Only Finance Committee Approval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the WFR Department to expend $ 1,400.00 plus est.shipping costs of $ 15.51 to pay for or purchase (7) Barrier Hoods and (11) sets of Structural Firefighting Gloves. This purchase or expenditure is being made because: Replace old gloves and hoods, worn from use. Vendor selected for this purchase: Dinges Fire Company Bids or written quotes were taken on this purchase, as follows: ® ❑x Bids or quotes were not taken on this purchase because: Lt. Beck routinely checks prices with existing companies to get the best prices and quality. Dinges had the availablity of products that we need at this time. Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: ❑x General Fund El Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds 0 Federal/other grants F-] Other(specify) This expenditure is to be coded to the following budget line-item: 010-12-1400-1573 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 5,60.00&--' and the current available balance is $ -,99 �' S 6 i,3 Respec II sub tted, (Signature D t. Head or Designee) Date ( ignature Finance Dept. Review) Date Sent over 073118. City Clerk Use Only Finance Committee Approval Date i City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the WFR Department to expend $ 7,995.00 plus est. shipping costs of $ 0.00 to pay for or purchase ESO Suite Subscription (09/01/18-08/31/19). This purchase or expenditure is being made because: Annual subscription fee for ESO software used for paperless ambulance reports and billing. Vendor selected for this purchase: ESO Solutions, Inc. Bids or written quotes were taken on this purchase, as follows: Qx Bids or quotes were not taken on this purchase because: Single Source Provider Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: Qx General Fund E] Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds E Federal/other grants 0 Other(specify) This expenditure is to be coded to the following budget line-item: 010-12-1410-1520 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 13,000.00✓ and the current available balance is $ 13,000.00y' esp ctf su Itted 7-St -1li"' - (Signature De t. Head or Designee) Date (Signature Finance Dept. Review) Date Sentover073118. City Clerk Use Only Finance Committee Approval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the WFR Department to expend $ NTE $25,000.00 plus est.shipping costs of $ 0.00 to pay for or purchase Repairs and maintenance to Truck 311. This purchase or expenditure is being made because: Truck 311 will be at Pierce Manufacturing for insurance covered repairs. While the truck is at Pierce, we are having other needed mechanical repairs completed. Vendor selected for this purchase: Pierce ❑ Bids or written quotes were taken on this purchase, as follows: Fx Bids or quotes were not taken on this purchase because: Single Source . We are having needed repairs done to numerous systems on Truck 311. Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: Ix General Fund Road Use Tax 7 Sewer 7 Sanitation Bonds Federal/other grants EI Other(specify) This expenditure is to be coded to the following budget line-item: 010-12-1400-1378 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 25,000.00 ./ and the current available balance is $ 25,000.00 `Resp ctfully u itted &)X� 72c)-/8 (Signat re Dept. Hegel or Designee) Date (Signa re Finance Dept. Review) Date Sent over 071918. City Clerk Use Only Finance Committee Approval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the WFR Department to expend $ NTE $8,500 plus est. shipping costs of $ 0.00 to pay for or purchase This purchase or expenditure is being made because: We are a professional uniformed department. Vendor selected for this purchase: ABC Screenprint, Advantage, Blains Farm&Fleet, Wertjes ❑X Bids or written quotes were taken on this purchase, as follows: Attached... We are using several vendors because there is not one vendor that stocks all of our uniform needs. Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: Fx General Fund E] Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds 1:1 Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-12-1400-1579 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 8,500.00 '1 and the current available balance is $ 8,500.00 Respectfu y s itted, Jug 6 301( ��,�� ,.��,.��„� <f« (Signature 0ept. Head 6r Designee) a (Signature Firiance Dept. Review) Date Sent over 071618. PAT TRELOAR To: Dave Floyd Subject: RE: Clothing bid summary From: Dave Floyd Sent: Saturday, July 14, 2018 11:08 AM To: PAT TRELOAR Subject: Clothing bid summary Chief Treloar, Please forgive the timeliness of this summary. As you are aware, I was on vacation last week in Las Vegas, and am trying to play catch up. The following is the summary of prices, and who won each bid. I will file the actual bids with Beverly. S/S and L/S T-Shirts, both in regular and tall, as well as polo's were awarded to ABC Screenprint. The prices are as follows: S/S S/S Tall L/S L/S Tall S-XL 7.50 9.00 10.50 12.00 2X 9.00 11.50 12.00 13.50 3X 10.00 12.50 13.00 14.50 4X 11.00 12.50 14.00 14.50 5X 11.50 6X 12.50 Polo's (embroidery included): S/S L/S S-XL 36.00 42.00 2X 37.50 44.00 3X 39.50 45.00 4X 40.50 46.00 Advantage won the bid for coats. The prices are as follows: S-XL 166.00 2X 170.00 3X 172.00 Blaine's Farm Fleet won the bids for pants and shorts. As a side note, they were significantly lower than the other bid (-$26.00/-$20. LP704/LP706 (pants) Up to 44" waist 32.99 Above 46" 33.99 1 LR704 (shorts) 29.99 Wertje's won the bid for all dress related items. Dress blouse Horace Small Option 2 *Oversize fee 10-30% 156.00 189.99 Dress pants Horace Small Option 2 *Oversize fee 10-30% 95.00 62.00 Total 251.00 251.99 Dress Shirts L/S 64.99 *Oversize fee 20-30% Dress Shirts S/S 58.99 *Oversize fee 20-30% Belts 27.95 Ties 6.50 Dress Hats 95.99 *Includes $12.00 expansion band Gold/Silver Respectfully submitted, David J. Floyd 2 Bid Proposal FY 18/19 and 19/20 Uniforms&Accessories City of Waterloo,Iowa Fire Department From: Wertjes Uniforms 219 East Eleventh Street Cedar Falls,Iowa 50613 (319)266-3392 deberg@cfu.net Lois DeBerg City of Waterloo Waterloo Fire Department I kit 5 b w a.e-e O r e6 s s Cs>tet \\ Y2.s 55/45 Horace Small Poly/Wool Dress Coat $156.00 Dark Navy * 55%polyester/45%wool Option#2:Polyester 38800 Blousecoat $189.99 * 13-13.5 oz Poly/Wool Serge * Fully Lined * 4 Button Front with notched lapels * Two box pleated breast pockets with scalloped flaps * Two lower simulated pockets with scalloped flaps * Two back side vents with snap closure * Shoulder Pads and coat front tailoring to enhance the shape of coat * Inside Breast Pocket *Lined inside sweat shields *Badge tab *Cross-stitched shoulder straps Horace Small Trouser HS2123 $ 95.00 Dark Naw * 55%polyester/45%wool Option#2:38200 Polyester Trouser: $62.00 * 13-13.5 oz.per linear yard,serge weave * Home wash or dry clean * 2"wide Ban-Rol continuous closed,Flex-tex wickable waistband * 3/4"wide lined belt loops * Crush proof hook&eye closure * Solid brass ratcheting zipper * French fly tab on men's styles * Quarter-top front pockets * Double welt,topstitched hip pockets,Button tab left hip pocket closure&triangle bartacks * Bar tacks at all stress points * Crotch lining Elbeco Duty Maxx US Shirts Style#586D Medium Blue - Style#580D White $ 64.99 *Tropical weave rayon blend provides better absorption&airflow for superior breathability&comfort *Top-fused banded dress collar,internal collar stays * Pleated pockets,scalloped flaps,hook&loop closures * Pen opening in left pocket and pocket flap * Badge eyelets with internal support strap * Cotton-blend collar band and inner yoke * Creaset Permanent military creases * Cross-stitched shoulder straps with functional button * Extra-long tail stay tucked in * 9.5-10 oz.-65%polyester/35%rayon single ply,tropical weave * Machine washable I Elbeco Duty Maxx S/S Shirts $ 58.99 Style#5586D Medium Blue- Style#5580D White * Tropical weave rayon blend provides better absorption and airflow for superior breathability and comfort * Top-fused convertible collar with internal collar stays * Pleated pockets,scalloped flaps,hook&loop closures * Pen opening in left pocket and pocket flap * Badge eyelets with internal support strap * Cotton-blend collar band and inner yokel28.00 * Cross-stitched shoulder straps with functional button * Extra-long tails stay tucked in * 9.5- 10oz-65%polyester/35%rayon single poly,tropical weave * Machine washable Dickies LP704 Tactical Relaxed Fit Stretch Pant(Cargo) $ 54.99 * Midnight Navy * DuPont Teflon finish repels water&stains • Sorona fabric provides superior comfort • Flex fabric for comfort and ease of movement • Inset back pockets—Dickies metal tack button • Expandable comfort waist with triple gripper waistband • L-shaped front pocket to clip your knife • Cell phone pocket—Low profile design I • 6.5 oz Ripstop,43%Elasterell-P w/Sorona, 34%Cotton,23%Polyester 5.1174439 Fast-Tac Cargo Pant $54.99 * Dark Navy 724 * Light Weight 4.7 oz 100%Polyester Fast-Tac Fabric * Nylon reinforcement on back and front pockets *Gusseted construction to enhance seam strength I * YKK Zippers * 27 Ligne Melamine button for center closure Dickies LP704 Men's 10" Stretch Ripstop Tactical Short S 51.80 5.11 Taclite Pro Shorts _ $ 50.99 *Style#73308(11" inseam)Color:724 Dark Navy_Shorts *Style#73287(91/2"inseam)Color:724 Dark Navy Shorts j Jay Pee Company(choice of) $ 27.95 1 " Black genuine leather dress belt with silver or brass buckle 1 1/4" Black genuine leather dress belt with silver or brass buckle 1 1/2" Black genuine leather dress belt with silver or brass buckle Sam Broome C/O Neckties $ 6.50 * Polyester/wool blend C/O necktie with buttonholes * Sizes: 3"x 14.5" 3"x 18" Y x 20" * Sizes: 3.5"x 14.5" 3.5"x 18" 3.5"x 20" 3.5"x 22" Bell Crown Fireman Dress Cap with Black visor or Equivalent: $ 83.99 * One-piece construction with vinyl cap strap * Choice of silver or gold"FD"hat buttons • Sizes 6.5 to 8 Choice of silver or gold hat bands(do you mean metal expansion hat bands?) gold/silver expansion hat band $ 12.00 City of Waterloo Waterloo FD 1Uniform Bid) r OVERSIZE CHARGES: 0-0xl a0 Z�p Oversize Charges: Shirts: Men: Sz 18.5&up or 2XL&up 20% 38 sleeve&up 30% long body(special order) 30% Womens: 48 bust&up Oversize Charge: Trousers: Mens: Sz.44-50 10%I Sz. 52-54 20% Sz.56-58 30% Sz 60 Plus 40% Womens: Sz.20-24 10%' Sz.26-28 20% Sz 30-32 30%1 Oversize Charge: Dress Coats: Mens: Sz.52-54(Reg& Long) 10%1 Sz.56-58(Reg&Long) 20%11 Sz.60+ (Reg&Long) 30%I Sz.48-52(XLong) 20%; Sz.54-56(XLong) 30%1 i Sew on Patches:1.50 Per patch Alteration•Outsource (whatever the Tailor Shop Charges) Any alterations done in-house(on new orders only)will be done at no-charge. I i I I I i r � I I i i i CITY OF WATERLOO , IOWA WATERLOO FIRE RESCUE 425 East Third Street • Waterloo,IA 50703 • (319)291-4459 Fax(319)291-4279 • ' OR a aterloo.Ftre�Chief sAd"iscretl n � � �.�.a �,.. ■ 5.11Fast-Tac Cargo Pant • Dark Navy (724) ■ Lightweight 4.7 oz. 100% polyester Fast-TacTM fabric • Bartacking at fly corner ■ Nylon reinforcement on back magazine and front utility pockets • Gusseted construction to enhance seam strength • YKK® zippers ■ 27 ligne Melamine button for center front closure Shorts or Equivalent: ■ Dickies #LR704 ■ Dark navy ■ Ripstop, 43% Elasterell-P w/ Sorona/34% Cotton/23% Poly ■ Expandable comfort waist with triple gripper waistband ■ Covert handcuff pocket at center waist • L-shaped front pocket to clip your knife, • Roomy cargo pockets with built in mag pouch • Cell phone pocket; Inset back pockets • DuPont Teflon(b finish repels water and stains Polos or Equivalent: ■ Corner Stone Tactical Polo ■ Style CS410 • Dark Navy • 6.0 oz. To 7.2 oz. - ■ WFR logo on front left chest (embroidered) Q= ■ Rank on front right chest (embroidered) (Captain, Lieutenant, ts— °�7 JEp Paramedic, Engineer, Firefighter etc.) d �3 • Long sleeve and short sleeve o Cost of S-XL o Cost of XXL-5XL (Tall when available) o Note if minimum quantity needed to receive price. Stormtech 3-in-1 Bomber Jacket or Equivalent: ■ #67848 Navy/Navy `!�/Sz • Embroidered "Waterloo Fire Rescue" Left Chest of outer and inner F 1 Jackets. • Patch sewn on left shoulder (patch rovided) 8' �(yt°- ■ Cost S-XXXL ww cedarnet.org/ lr'g"�s��' CITY WEBSITE:www.cityofwaterlooiowa.com �-� WE'RE WORKING FOR YOU! Revised 06/01/2018 An Equal Opportunity/Affirmative.Action Employer CITY OF WATERLOO , IOWA WATERLOO FIRE RESCUE 425 East Third Street Waterloo, IA 50703 • (319)291-4459 Fax(319)291-4279 Sam Broome C/O Neckties or Equivalent • Polyester/wool blend C/O necktie with buttonholes • Sizes: 3" x 14.5" 3" x 18" 3" x 20" or • Sizes: 3.5" x 14.5" 3.5" x 18" 3.5" x 20" 3.5" x 22" Uniform T-Shirt Specifications or Equivalent: 6 �C Port & Company® Essential T Shirts (NAVY) � `4? o Cost of S-XL ,L s - /,5 o Cost of XXL-5XL 4 s� /s;-' . o Cost of LT- 5XLT (TallP3-�5"11' • Heavyweight 6.1 ounce, 100% cotton • WFR logo on front left chest • Long sleeve and short leave • Waterloo Fire Rescue on the back of the T-Shirt (note if minimum quantity if required for price) Uniform pants Specifications or Equivalent: ■ Dickies LP704 Tactical Relaxed Fit Stretch Pant • Dark Navy • Ripstop, 43% Elasterell-P w/ Sorona/34% Cotton/23% Poly65 % polyester- 35% cotton ■ Expandable comfort waist with triple gripper waistband • Covert handcuff pocket at center waist • L-shaped front pocket to clip your knife • Roomy cargo pockets with built in mag pouch • Cell phone pocket; Inset back pockets • DuPont Teflon®finish repels water and stains. www.cedarnet.org/fire CITY WEBSITE:www.cityofwaterlooiowa.com WE'RE WORKING FOR YOU! Revised 06/01/2018 An Equal Opportunity/Affirmative Action Employer Bid Proposal for Waterloo Fire Dept. Submitted by ABC Embroidery, Inc. Linda @ 232-0094 06/06/18 Uniform T-Shirts: #PC61 Port & Co. Essential S/S Tee, Navy Blue w/1 c. screen printed L chest & back designs - $7.50 up through XL (Available up to 6X) 2X add $1.50 3X add $2.50 4X add $3.50 5X add $4.00 6X add $5.00 #PC61LS Port & Co. Essential L/S Tee, Navy Blue w/1 c. screen printed L chest & back designs - $10.50 up through XL (Available up to 4X) 2X add $1.50 3X add $2.50 4X add $3.50 #PC61T Port & Co Essential S/S Tee, Navy Blue w/1 c. screen printed L chest & back designs - LT & XLT add $1.50, 2XLT add $4.00, 3XLT & 4XLT add $5.00 to the price of PC61 (Available up to 4XLT) #PC6ILST Port & Co. Essential L/S Tee, Navy Blue w/1 c. screen printed L chest & back designs - LT & XLT add $1.50, 2XLT add $3.00, 3XLT add $4.00 to the price of PC61LS (Available up to 4XLT) Polos or Equivalent: #CS410 Cornerstone Tactical Polo, Navy Blue (Retail $32.00) $24.00 up through XL (Available up to 4X) 2X add $1.50 1 3X add $3.50 4X add $4.00 CS41OLS Long Sleeve Tactical Polo, Navy Blue (Retail $38.00) $30.00 up through XL (Available up to 4X) 2X add $2.00 3X add $3.00 4X add $4.00 #J777 Port Auth 3-in-1 Jacket, Navy/Navy (Retail $96.00) $85.00 up through XL (Available up to 4X) 2X add $2.00 3X add $4.00 4X add $6.00 #J310 Port Auth 3-in-1 Jacket, Insignia Blue/Navy Eclipse (Ret. $130.00) $115.00 up through XL (Available up to 4X) 2X add $2.00 3X add $4.00 4X add $6.00 Left Chest Maltese Embroidery $7.00 Right Chest Ranking $5.00 We require a 12 piece minimum for screen printing. We have no minimum for embroidery. 2 a s OA � 0 0 0 �w m K P Iti (D w a "pp '0 6 yv v v O = 72 o o v 40 ip T S ! � V M [D W V1 W V� 1h S A A A N A N A N 9 p �- I tp tD lD 1p 10 W C J tp N H 3 b N p N 1p lD t0 iD l0 1p 1p lO ip t0 l0 1p N p A < A C m ip b tOo H p W E O t0 t0 l0 3 } S l0 1p l0 b � W _ x y a _ 90 90 wtiD v. AA yr m ui x N 1p l0 tp l0 l0 l0 N p � N f9 ID m � = < m m t�0 lip tip ?. A Ol A d C N b t0 tp U iio kou W N w H W N C A W W W 3 00 lO lO lO N W 0 0 0 0 0 0 0 0 0 0 O O 0 0 0 0 0 0 0 0 0 O p p o CD N m oc Hy.� W n n 3 D A x A 3 O r tv r �n m S D -i 41 n 4 + ly ��W , � o o a � o No '� •ppvi ?0o mm � � » arm EF O1 a 3 : o IN (7 y m CD o °O (D o # m V 'C3 1 N � SL „w S N � u = CD oo0 w n CL 0 'a (D O d y O N H # iY # A A A N A N lA A �n S N m � b � H E C A W W l0 W b b ip = + O_ A A N ? Owt w Oi m /n Fn W w W W In C A w N N N W l0 w l0 l0 io + l0 l0 l0 N' W N M1 W W AA 1n AA V! AA to O U T A w N N C W > > lD < lD N Q N N .r fa t0 tp tD N p a a °J < lD 1p 1p tp l0 l0 N• O1 `� 1p N V y.....� \ V O 0 0 0 0 0 0 0 0 0 0 O O 0 0 0 0 0 0 0 0 0 O O p C N N ' d Soo O W City Clerk Use Only Finance Committee s 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 Finance Department to expend $ 88,624.00 plus est. shipping costs of $ to pay for or purchase annual maintenance fees for financial community development and code enforcement software. This purchase or expenditure is being made because: Vendor selected for this purchase: Bids or written quotes were taken on this purchase, as follows: 0 Bids or quotes were not taken on this purchase because: The software was purchased in 2011. Annual support fees are needed Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: 51 General Fund Road Use Tax Sewer FX1 Sanitation Bonds Federal/other grants FI Other(specify) This expenditure is to be coded to the following budget line-item: 010- 03 - $68,985; 010-22 - $19,279; 525-15 - $2,359 (Fund - Department-Activity-Account Number) (Project w C� � Gia d3 olo-yy X25-l5 in which the budgeted amount is $ )0w d35y and the current available balance is $ 924171` a3 � Respectfully submitted, (Signature Dept. Head or Designee) Date (Signature FinancL9 Dept. Review) Date K:\shared goodies\forms\Logos Software Annual Mtce FYE19.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 Finance Department to expend $ NTE $5,000 plus est. shipping costs of $ to pay for or purchase for arbitrage rebate services for bond issues. This purchase or expenditure is being made because: Vendor selected for this purchase: Bids or written quotes were taken on this purchase, as follows: Fx Bids or quotes were not taken on this purchase because: Berens-Tate Consulting Group has been providing these services and has the historical data on file. Prior Committee Actions (Dates): Please check the following box(es)as appropriate to describe the funding for this expense: EI General Fund ❑ Road Use Tax E-1 Sewer ❑ Sanitation Qx Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 414-03-8980-1750 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 153,000.00 ✓ and the current available balance is $ 76,181.33 Respectfully submitted, (Signature Dept. Head or Designee) Date (Signature Fin"nce Dept. Review) Date K:\shared goodies\forms\Pre-auth Arbitrage Rebate Services.Aug 2018xls.xls(Mar 2010) BERENS-TATE CONSULTING GROUP SPECIALIZING IN TAX- EXEMPT BONA SERVICES July 31,2018 Ms. Michelle Weidner City of Waterloo 715 Mulberry Street Waterloo, IA 50703 Dear Michelle: Here is the engagement letter for the arbitrage rebate work. Thanks again for the business! Sincerely, BEERENS-TATE CONSULTING GROUP Chris D. Berens Enclosure 10050 REGENCY CIRCLE/ SUITE 400 OMAHA, NEBRASKA 68114 • (402) 391.6188 • FAX (402) 391-9037 BERENS-TATE CONSULTING GROUP SPECIALIZING IN TAX- EXEMPT BOND SERVICES July 31,2018 Michelle Weidner City of Waterloo 715 Mulberry Street Waterloo, IA 50703 Dear Ms. Weidner: Thank you for the opportunity to provide arbitrage rebate services to City of Waterloo ("City"). This letter outlines my understanding of the project. SCOPE We will perform an arbitrage rebate calculation for the following bonds: • $8,040,000 General Obligation Bonds, Series 2012A -through when proceeds were spent • $5,835,000 General Obligation Bonds, Series 2013A -through May 31,2018,the five-year installment date PROCEDURES We will perform the following procedures: • Review of bond documentation (official statement, arbitrage certificate, investment information, IRS Form 8038, etc.). • Determine the bond yield. • Compute the rebate amount(based upon the net future value of the non-purpose investments or the"cash flow method"). • Work closely with bond counsel to resolve any questions which may arise. • Work with you to determine the appropriate investment strategy for each bond issue/account, as well as the funding of and accounting for any rebate liability which might exist. 10050 REGENCY CIRCLE /SUITE 400 OMAHA,.NEBRASKA 68114 • (402) 391-6188 • FAX(402) 391-9037 REPORTS We will prepare the following reports: • Summary report-describes procedures performed and the amount of any rebate owed. • Arbitrage rebate report - includes details of all transactions, sources of information, assumptions,as well as the calculation. • IRS Form 8038-T-prepare the proper IRS Form if any rebate is owed and paid at this time. CITY'S RESPONSIBILITIES The City is responsible for providing the Consulting Group with the documentation necessary to complete the calculation. This would include bond documentation (official statement, arbitrage certificate, 8038, etc.), as well as expenditure and investment information (trust statements/activity summary by fund, investment summary, disposition of bond proceeds, etc.). In determining the rebate amount for the Bonds, we will rely on the information provided by you without independent verification. We will retain copies of the records you have supplied us, along with our work papers for your engagement. However, our work papers and files are not a substitute for the original records of the client. FEES We estimate our fees for the project plus actual out-of-pocket expenses (delivery charges, etc.) will be: Issue Fee 2012A Bonds $1,500 2013A Bonds 3,500 This fee is dependent on the availability, quality, and completeness of the records noted above and will be due within 30 days of completion of the project. If unexpected problems arise which are beyond the scope of our work and would affect our fee quote we would discuss these with you and obtain the necessary authorization from you before performing any additional procedures. We look forward to working with the City of Waterloo on this project and appreciate this opportunity to serve you. Sincerely, BERENS-TATE CONSULTING GROUP &X� & Chris D.Berens If you agree with the services outlined in this letter, please sign in the space provided below and return a copy to me. Accepted by: Date: City Clerk Use Only Finance Committee Approval Date_S /(, /I City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Finance Department to expend $ 15,000.00 plus est. shipping costs of $ to pay for or purchase consulting services This purchase or expenditure is being made because: The Finance Department has a vacant staffposition We have identified someone who Is willing to work on selected Finance projects on a consulting basis Vendor selected for this purchase: James H Slife/Tandem Graphics ❑ Bids or written quotes were taken on this purchase, as follows: ❑x Bids or quotes were not taken on this purchase because: Jim has been working with us since December 2016 Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑X General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 010-03-8400-1319 (Fund - Department-Activity-Account Number (Project Code) in which the budgeted amount is $ 20,361.00 and the current available balance is $ 19,801.00 ' Respectfully submitted, (Signature Dept. Head or Designee) Date (Signature Finan e Dept. Review) Date K:\shared g oodies\forms\S life Consulting Pre auth 3.xls(Mar 2010) City =senFinance ComApproval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Garage Department to expend $ 36,828.00 plus est. shipping costs of $ to pay for or purchase 1 set of Stertil Koni Mobile Vehicle Lifts This purchase or expenditure is being made because: Midwest Lift Works, LLC will honor the specifications, bid documents and price established by both parties as of August 2017 Vendor selected for this purchase: Midwest Lift Works, LLC FX Bids or written quotes were taken on this purchase, as follows.- Midwest ollows:Midwest Lift Works, LLC Jordan, MN $36,828.00 Bids or quotes were not taken on this purchase because.- Prior ecause:Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund 0 Road use Tax Sewer 0 Sanitation ❑X Bonds El Federal/other grants Other(Specify) This expenditure is to be coded to the following budget line-item: (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 341 g2$ and the current available balance is $ 440. OF* Respectfully submitted,d. ) ~ C3 72U��, DLA /ilii �riii, 2l� 4(Signa4u're'Dept. H d or Designee) at (Signa ure Finance bept. Review) Date K:lshared goodieslforms12018-August-Pre-Auth-1 set wireless lifts-Garage-413-18-7950-2122;414-18-7950-2118,2110-$36,828.xls(Mar 2010) City Clerk Use Only Finance Committee Approval Date //6 (/ I sr 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 Mayor Department to expend $ 5,269.00 plus est. shipping costs of $ to pay for or purchase Yearly membership dues. This purchase or expenditure is being made because: Vendor selected for this purchase: United States Conference of Mayors Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: 51 General Fund Road Use Tax Sewer F—I Sanitation El Bonds Federal/other grants Other(specify) This expenditure is to be coded to the following budget line-item: 010-01-8200-1391 (Fund - Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 13,000.00✓ and the current available balance is $ 13,000.00 Respectfully submitted, (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared good ies\forms\Expend iture Pre-Authorization USCM(Mar 2010) .�,PCAN THE UNITED STATES CONFERENCE OF MAYORS 1620 EYE STREET,NORTHWEST WASHINGTON,D.C.20006 Telephone(202)293-7330 FAX(202)293-2352 DESCRIPTION ADIOUNIDUE USCM Membership (July 1, 2018— June 30, 2019) $5269.00 Employer ID#53-0196642 � INVOICE NO. INVOICE DATEThe Honorable Quentin M Hart 47369 City of Waterloo 07/01/2016 715 Mulberry Street Please refer to the invoice number Waterloo, IA 50703 on all correspondence eONF THE UNITED STATES CONFERENCE OF MAYORS 1620 EYE STREET,NORTHWEST '. WASHINGTON,D.C.20006 2� Telephone(202)293-7330 Rt - S"° FAX(202)293-2352 DESCRIPTION AINIOUNT DI'F USCM Membership (July 1, 2018— June 30, 2019) $526900 Employer ID#53-0196642 ■ The Honorable Quentin M. Hart INVOICE NO. INVOICE DATE ` City of Waterloo 47369 07/ov2o1a 715 Mulberry Street Waterloo, IA 50703 Please refer to the invoice number on all correspondence. C A e� THE UNITED STATES CONFERENCE OF MAYORS 1620 EYE STREET NORTHEST WASHINGTON,D.C.2()()()() TELEPHONE(202)293-7330 I 1AX(202)293-2357 URL: RECEIVED JUL 3 01018 July 20, 2018 STLPTILN K,BENIANIEN The Honorable Quentin A Hart IIRtAN K,BARNLFf lldl� dl i, City of Waterloo GUGITS011-P NIWI�4 715 Mulberry Street Nv NW., T1.17-11ILTH F; Waterloo, IA 50703 Tiu f Aa,,,, Dear Mayor Hart: SJiAN 1 Sl%MN 1. H0117I AN i1OLLW T V� :p fh, RRAtN tdt. I want to extend my gratitude for your continued support of and active engagement in FI AN&(OV\lr� M,111 1,1 IkIN1,1j,111 The United States Conference of Mayors. pill!d,AI AAV TORGF 0,111,'KI ]OHN Gll.[_� Our organization is committed to providing nonpartisan leadership on the priorities of greatest concern to the 85 percent of the U.S.population living in cities, suburbs and MIKE RA V LINC,1 Dill metro areas across our nation. That is why, under the leadership WIS 1.S(MH FT p oour President, I 8�, Columbia Mayor Steve Benjamin, The U.S. Conference of Mayors is focused on three MARTIN 7 VAJ_uN NANNOIALTY cross-cutting themes - Infrastructure, Innovation and Inclusion. kb,�,.Ubm,. Ad,i,,�)R.,,L ILAN CATCLOS BIPWI I)I:Z %I..... There are both opportunities and challenges for America's cities as Washington debates RLDE ARDS ,F. the most pressing issues of the day. Our organization will continue to help amplify the A NI—r NIN voices of Mayors in all branches of the federal government to make sure our priorities - SHARON VTSTON RROOME X41...4 B,�..R..,, Rol,61101, based on adopted policy- are addressed. ,(Dub.q", PELF,WIT IGILG %1,1v11 ofSomB�d CTIR1,N'TOPH M I-CABALIX)N At the same time, so much of what must be accomplished at the local level falls on the PALTUNI,RUSSO Ct-rFER Xl= IWS="[.�d.. IIART,r E T)NvIs,JR shoulders of Mayors like you who work every day with local businesses, educators, non- %Ly,. I`A.pn,, BUDDI OYER profit organizations, and residents to strengthen your cities. The U.S. Conference of 40d�d„ FRLEMAN-WIL.NON Mayors is committed to serving as the platform for sharing mayoral best practices and ki.....ofC... JOSM11i R GANIXI NSR , d innovations, as we seek to highlight local leadership and use local successes to influence 01T NSR (�I'dftrr,II I MAY�T M MMMi C&n, policy at all levels of governments. CAROLYN C.Goor)XIAIN N 7 PA '�SUFIR li)�T_ A'XIES IR SYLVF a-IW I'ROSILIFIkE, On behalf of our officers and elected leadership, I hope that you will continue your M.'"I pl,.. p lk)LPWT kuwn N'1R participation as a member of our organization in the coming year. To that end, enclosed is your )ON A91l�HEll. FY 2019 invoice for membership dues to our organization. N.-,a MARK);.''fN.-,a 11MTT(_,1TF1I_ °M..FI'VAUSHBIA If you have any questions regarding your dues invoice,please contact Luther Roberts at KENTN'LJlf 1)N Fp-k\,Kc41 owns Iroberts@usmayors.or /202-861-6746. And as always,please feel free to contact me 4 P.6"k,Pmm directly on any issue at teochrangusmayors.org 202-744-9110. NIADWJNII� M9,,,4K"'Jl, HILIAWSCHIM7 M%CWt R,�� PAUI 'LIN Sincerely, EARS SOINE I'll M-1.1.tfud,k MARK S1 OD01 ;L A jrZL�k MkN("ZS X. Nz FEWTURNER lllill,ln Ni WAHUR of P"u Tom Cochran AGQL'ANFRA wMEN C110 1-d Di,,,., CEO and Executive Director TONI COCIfRAN Attachment city c=senFinance CommApproval Date City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police Department to expend $ 20,000.00 plus est. shipping costs of $ 500.00 to pay for or purchase Purchase hardware/software for utilization of forensic cell phone examination. This purchase or expenditure is being made because: Examination of Cell Phones is becoming increasin I necessary in all manners of criminal investigations Vendor selected for this purchase: Grayshift ❑ Bids or written quotes were taken on this purchase, as follows: Qx Bids or quotes were not taken on this purchase because: Grayshift is the manufacturer and sole provider of this equipment Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road use Tax Sewer ❑ ❑ ❑ Sanitation Bonds ❑ Federal/other grantsE] Other(specify) TCTF Forfeiture This expenditure is to be coded to the following budget line-item: 010-11-1160-1512 (Fund - RIF Department-Activity-Account Number 11-TRIT ) (Project Code) in which the budgeted amount is $ leO06 and the current available balance is $ ��7}0 Respectfu ubmitted, r' -,gyp /� (Signature Dept. Head or Designee) Date `Jin f��?�� >� Avite ) (signature Finance Dept. Review) Date K:\shared goodies\forms\Preauth(Mar 2010) City Clerk Use Only Finance Committee Approval Date A /t g 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 $ 10.700.00 plus ext. shipping cost of $ 2.300.00 to pay for or purchase Rental of Two(2) six(6) inch Hydraulic Submersible Pumps and Two(2) Diesel Powered Hydraulic Power-Packs for up to five(5)weeks rental with Rental Protection Plan (RPP) This purchase or expenditure is being made because: For dewaterine of#1 Easton aeration basin while repairing diffusers and changing diffuser membranes. Vendor selected for this purchase: Sunbelt Rentals Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: Our need to dewatering a tank with hydraulic pumps, Sunbelt Rentals is a hydraulic pump rental company that specialized in rental of hydraulic pumps and hydraulic power packs. City Strategic Plan, Strategy 4.5 Maintain and develop community services and city facilities that support quality of place. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: 17 General Fund: 1-1 Road Use Tax: X❑Sewer: FISanitation: Bonds: ❑Federalrother grants: ❑Other(specify): This expenditure is to be coded to the following budget line-item: 520-14-5200-1564 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 2,000.00 +'(3100i)" Z ($r ,�G ✓ and the current available balance is $ 1.200.00 r ! .(WO ` / Respectfully submitted, at 201 (Signature Dept. Head Or Designee) Date -(Sinature Finance Dept. Review) Date PUMP QUOTE Branch#600 15125 SOUTH ROBERT TRAIL Dan Mansfield ROSEMOUNT, MN 55068 Cell:(262)212-9312 Office:(952)229-6699 dan.mansfieldCasunbeltr ntais com www.sunbeltrentals.com Customer City Of Waterloo-Sewer&Wastewater V4(Draft RO) 3505 Easton Ave. QUO-107378-M7J3Y6 Waterloo, IA 50702 8/20/2018 to 9/17/2018 ,n Sire Wastewater Treatment Plant Contact Brian Rath 3505 Easton Ave. (319)291-4553 Waterloo, IA 50702 brian.rath@waterloo-IA.org Introduction 7/31/18 Sunbelt Rentals Pump&Power is please to present this one-week rental for our 6"Hydraulic Submersible Trash Pump&Diesel Powered Hydraulic Power-pack(towable)-per the equipment discussed with Steve Clawson today. It also assumes that the inbound freight was paid for on the one-day test rental-see v1 rental quote. This plan will provide equipment detailed in your phone conversation this morning 7/10/18 with Steve Clawson the Branch Manager at the Rosemount, MN-Pump&Power facility. Miscellaneous Fess reflect a mandatory Enviromental&Transportation fees. Orientation Charges reflect the Sunbelt Rental's Protection Plan-RPP. 7/31/18 Update Quote to reflect a 4-week rental. We appreciate the opportunity to quote you on this project.Sunbelt Pump&Power Services strives support all of our equipment with the best possible service you'd expect from one of the nation's largest equipment rental providers. If you have any questions or require additional information,please feel free to contact us at the following phone numbers. Sincerely, Dan Mansfield Page 1 of 4 Quote Status: Draft Customer:City Of Waterloo-Sewer 8 Wastewater Quote:V4 Specifications The#045-0330 is a 6"Hydraulic Submersible Trash Pump,with a 6"discharge pipe size and a 1"Hydraulic Supply and 1-1/4"Return Hydraulic Connection powered by a 60HP,Diesel Power Pack. The Diesel Power Pack has: 96 gallons of Onboard Fuel 2.6 GPH Fuel Consumption at Full I oad 36 hours of Run Time at Full Load Refueling-Is available upon request. Diesel cost per gallon will be based on the Refueling Vendor's daily market pricing+1.50 PLUS-Trip Charge,per delivery Week Day/1 st Shift$75.00 Week Day/2nd Shift$150.00 Weekend/1 st Shift$150.00 Government Holiday/1 st Shift$300.00 Scope Environmental and SMM Fee: An environmental fee of 3%of selected equipment charges will be applied to all invoices.This fee is relative to the disposal of lubricants,anti-freeze,and other environmental waste products. Payment Terms Balance due upon receipt of invoice. Late fees of 1.5%of balance will be assessed monthly after 30 days past due.All monthly pricing is based on a 28 day billing cycle. Validity Period Equipment rental rates are valid for a period of 90 days.Availability of equipment is subject to stock on hand at time order is received.Should equipment be unavailable at time order is received,it may be necessary to revise freight charges to pull equipment from another location. Additional Services (Delivery-set up tear down-crane fee,etc.)Pricing reflects the above mentioned equipment only.Any additional equipment or services required to complete job will be viewed as an add-on and will be billed accordingly.Sunbelt Rentals will require an additional purchase order number prior to delivery of add-on equipment and/or services. Customer Responsibility *Delivery/Pickup"Standby Time'at$150.00 per hour during delays *Maintain compliance with all applicable codes,pulling permits and all required licenses unless this has been approved by the customer for Sunbelt Rentals to pull electrical permits at an additional costs *Purchase REntal Protection Plan(RPP)or assume responsibility for replacement of lost,damaged or stolen equipment at manufacturer's current list price *Scheduled Maintenance of Rental Equipment *Equipment clean upon return.Customer may be subject to additional charges for equipment that requires cleaning upon return Page 2 of 4 Quote Status: Draft Customer: City Of Waterloo-Sewer&Wastewater Quote:V4 General Any rental that results from this quotation will be subject to our standard terms and conditions. Sunbelt Rentals continues to effectively maintain our commitment to quality and exceptional customer service through Preventive Maintenance(PM)Program.Certain equipment included in this document may require scheduled Preventive Maintenance which will be preformed in accordance with the following: *Sunbelt Rentals will monitor the operation time and preform PM Service as required in accordance with the manufacture's minimum service period. *Preventive Maintenance will be preformed per our schedule. *Customer shall be charged for each PM Service during the rental period. *Charge Per 300 Hour PM Service: RATES I Diesel Generators I Diesel Air Compressors I Diesel Driven Pumps $250 1 20kW up to 56kW 1375 to 400cfm 14"to 6"Pump $450 1 t OOkW up to 250kW 1 600 to 915cfm 18"to 12"Pump $850 1 320kW up to 2,000kW I 1,100 to 1,600cfm. 118"to 24"Pump Pricing Details Equipment Qty Item Day Week 4 Week Amount 2 60HP DIESEL HYDRAULIC POWER PACK $345.00 $760.00 $2,115.00 $4,230.00 2 6" HYDRAULIC PUMP HEAD 60HP $105.00 $345.00 $920.00 $1,840.00 2 6" BAUER BALL X FLANGE $8.00 $22.00 $64.00 $128.00 2 6"BAUER SOCKET X MALE CAM $4.00 $10.00 $31.00 $62.00 2 HYDRAULIC HOSE 1"X 50' $6.00 $21.00 $60.00 $120.00 10 Subtotal 56,380.00 Labor Travel In $1,500.00 Orientation $957.00 Travel Out $300.00 Miscellaneous $93.00 Subtotal $2,850.00 Ancillary $0.00 Quote Total: **Explanation of Misc.Charges: fuel surcharge/safety/consumables Quoted delivery and pick up fees are estimates. Other fees and taxes may apply. Fuel,State and Local taxes and actual delivery charges will be quoted when the order is confirmed based on the rental location. Terms and Conditions Any rental that results from this quote will be subject to Sunbelt's standard terms and conditions. Page 3 of 4 Quote Status: Draft Customer City Of Waterloo-Sewer&Wastewater Quote:V4 Quote Acceptance City Of Waterloo-Sewer&Wastewater Brian Rath Acceptance Signature of Customer's Authorized Representative Date Sunbelt Rentals, Inc. Dan Mansfield Acceptance Signature of Sunbelt Rentals Authorized Employee Date Page 4 of 4 Quote Status: Draft • Branch 9600 PUMP QUOTE RENTALSSUNBELT 15125 SOUTH ROBERT TRAIL Dan Mansfield ROSEMOUNT, MN 55068 Cell: (262)212-9312 Office:(952)229-6699 dan.mansfield@sunbeltrentals.com__ www.sunbeltr otals om Lustorne City Of Waterloo-Sewer&Wastewater Quore V5(Draft RO) 3505 Easton Ave. QUO-107375-F6T3D7 Waterloo, IA 50702 9/18/2018 to 9/25/2018 !co,Sit-^ Wastewater Treatment Plant _ _ Brian Rath 3505 Easton Ave. (319)291-4553 Waterloo, IA 50702 brian.rath@waterloo-IA.org Introduction 7/31/18 Sunbelt Rentals Pump&Power is please to present this one-week rental for our 6"Hydraulic Submersible Trash Pump&Diesel Powered Hydraulic Power-pack(towable)-per the equipment discussed with Steve Clawson today. It also assumes that the inbound freight was paid for on the one-day test rental-see v1 rental quote. This plan will provide equipment detailed in your phone conversation this morning 7/10/18 with Steve Clawson the Branch Manager at the Rosemount, MN-Pump&Power facility. Miscellaneous Fess reflect a mandatory Enviromental&Transportation fees. Orientation Charges reflect the Sunbelt Rental's Protection Plan-RPP. 7/31/18 Update Quote to reflect a 4-week rental. We appreciate the opportunity to quote you on this project.Sunbelt Pump&Power Services strives support all of our equipment with the best possible service you'd expect from one of the nation's largest equipment rental providers. If you have any questions or require additional information,please feel free to contact us at the following phone numbers. Sincerely, Dan Mansfield Page 1 of 4 Quote Status: Draft Customer:City Of Waterloo-Sewer&Wastewater Quote:V5 , Specifications The#045-0330 is a 6"Hydraulic Submersible Trash Pump,with a 6"discharge pipe size and a 1"Hydraulic Supply and 1-1/4"Return Hydraulic Connection powered by a 60HP,Diesel Power Pack. The Diesel Power Pack has: 96 gallons of Onboard Fuel 2.6 GPH Fuel Consumption at Full Load 36 hours of Run Time at Full Load Refueling-Is available upon request. Diesel cost per gallon will be based on the Refueling Vendor's daily market pricing+1.50 PLUS-Trip Charge,per delivery Week Day/1 st Shift$75.00 Week Day/2nd Shift$150.00 Weekend/1 st Shift$150.00 Government Holiday/1 st Shift$300.00 Scope Environmental and SMM Fee: An environmental fee of 3%of selected equipment charges will be applied to all invoices.This fee is relative to the disposal of lubricants,anti-freeze,and other environmental waste products. Payment Terms Balance due upon receipt of invoice. Late fees of 1.5%of balance will be assessed monthly after 30 days past due.All monthly pricing is based on a 28 day billing cycle. Validity Period Equipment rental rates are valid for a period of 90 days.Availability of equipment is subject to stock on hand at time order is received.Should equipment be unavailable at time order is received,it may be necessary to revise freight charges to pull equipment from another location. Additional Services (Delivery-set up tear down-crane fee,etc.)Pricing reflects the above mentioned equipment only.Any additional equipment or services required to complete job will be viewed as an add-on and will be billed accordingly.Sunbelt Rentals will require an additional purchase order number prior to delivery of add-on equipment and/or services. Customer Responsibility *Delivery/Pickup"Standby Time"at$150.00 per hour during delays *Maintain compliance with all applicable codes,pulling permits and all required licenses unless this has been approved by the customer for Sunbelt Rentals to pull electrical permits at an additional costs *Purchase REntal Protection Plan(RPP)or assume responsibility for replacement of lost,damaged or stolen equipment at manufacturers current list price *Scheduled Maintenance of Rental Equipment *Equipment clean upon return.Customer may be subject to additional charges for equipment that requires cleaning upon return Page 2 of 4 Quote Status: Draft Customer:City Of Waterloo-Sewer&Wastewater Quote V5 General Any rental that results from this quotation will be subject to our standard terms and conditions. Sunbelt Rentals continues to effectively maintain our commitment to quality and exceptional customer service through Preventive Maintenance(PM)Program. Certain equipment included in this document may require scheduled Preventive Maintenance which will be preformed in accordance with the following: *Sunbelt Rentals will monitor the operation time and preform PM Service as required in accordance with the manufacture's minimum service period. *Preventive Maintenance will be preformed per our schedule. *Customer shall be charged for each PM Service during the rental period. *Charge Per 300 Hour PM Service: RATES I Diesel Generators I Diesel Air Compressors I Diesel Driven Pumps $250 20kW up to 56kW 1375 to 400cfm I 4"to 6"Pump $450 100kW up to 250kW 1 600 to 915cfm 18"to 12"Pump $850 320kW up to 2,000kW 1 1,100 to 1,600cfm. 18"to 24"Pump Pricing Details Equipment Qty Item Day Week 4 Week Amount 2 60HP DIESEL HYDRAULIC POWER PACK $345.00 $760.00 $2,115.00 $1,520.00 2 6"HYDRAULIC PUMP HEAD 60HP $105.00 $345.00 $920.00 $690.00 2 6" BAUER BALL X FLANGE $8.00 $22.00 $64.00 $44.00 2 6"BAUER SOCKET X MALE CAM $4.00 $10.00 $31.00 $20.00 2 HYDRAULIC HOSE 1"X 50' $6.00 $21.00 $60.00 10 -- — $42.00 Subtotal $2,316.00 Labor Travelln Orientation $1.00 Travel Out $347.40 Miscellaneous $300.00 $93.00 Subtotal $741.40 Ancillary Rental Protection Plan(RPP) $0.00 Subtotal $0.00 Quote Total: . 'Plus applicable taxes **Explanation of Misc.Charges: fuel surcharge/safety/consumables Quoted delivery and pick up fees are estimates. Other fees and taxes may apply. Fuel,State and Local taxes and actual delivery charges will be quoted when the order is confirmed based on the rental location. Terms and Conditions Any rental that results from this quote will be subject to Sunbelt's standard terms and conditions. Page 3 of 4 Quote Status: Draft Quote.V5 Customer City of Waterloo-Sewer&Wastewater Quote Acceptance City Of Waterloo-Sewer&Wastewater Brian Rath Acceptance Signature of Customer's Authorized Representative Date Sunbelt Rentals,Inc. Dan Mansfield Acceptance Signature of Sunbelt Rentals Authorized Employee Date Page 4 of 4 Quote Status: Draft 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 $ 7,100.00 plus ext. shipping cost of $ 0.00 to pay for or purchase Recondition Motor with bearing replacement and labor This purchase or expenditure is being made because: Worn bearings causing excessive vibration from motor to blower, for#2 Easton Blower Motor Vendor selected for this purchase: Janda Motor Services Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: Recommending Janda Motor Services for their quality of work on repair, have worked with other motor repair company and quality of work not so good. City Strategic Plan, Strategy 4.5 Maintain and develop community services and city facilities that support quality of place. 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(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 $ 387.980.56 Respectfully submitted, Zo r (Signature Dept. Head Or Designee)J Date (Sig ature Finance Dept. Review) Date JANDA MOTOR SERVICES Mail To: (319) 393-1230 901 17TH STREET NE (319) 393-6911 Fax P.O. BOX 10045 CEDAR RAPIDS, IA 52410 Quotation Quote: 005175 Department: QA Job Desc: 800 2 588 DP 4160 SIEMENS AC REPAIR QUAD CITIES Type: 03 STD 3 PHASE MOTOR REPR Cust #: 992000 Ship To #: Quote Date CASH SALE(JIM) WATERLOO WASTE MANAGEMENT 07/23/18 WATERLOO IA. Nameplate Data: HP: 800, POLES: 2, FRAME: 588, ENCLOSURE:DP, VOLTAGE:4160, MAKE:SIEMENS, SERIAL:E13316-01-2, RPM:3574, AMPS. : 94 .9 Special Instructions: RECONDITION MOTOR AND USE QUALITY BEARINGS. CONTACT IS JOHN HYMAN Description Price PICK UP AT CUSTOMER SITE INSPECT/TEARDOWN STEAM CLEAN PARTS INSPECT MACHINED FITS PDMA/BAKER ELECTRICAL TEST RECONDITION STATOR WINDINGS CHECK BALANCE ON ROTOR ASSEMBLE, TEST AND PAINT NEW BEARINGS AND MATERIAL CAUSE OF FAILURE: BAD BEARINGS. PRICE DOES NOT INCLUDE ANY WINDING OR MACHINE WORK THAT MAY BE FOUND UPON INSPECTION. y3 Z �aa-{�v1 Pal o w e.e m o-6 Total: 7, 100. 00 Quote valid for 30 calendar days Plus Sales Taxes, from the above date. If Applicable. By: Date: Based Upon Our Standard Terms And Conditions. City Clerk Use Only (Finance Committee / Approval Date l Ilg 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 $ 2.900.00 plus ext. shipping cost of $_510.00 to pay for or purchase Catalytic, Type CAT2 Carbon for H2S odor control at Park Rd. lift station This purchase or expenditure is being made because: Increase freight cost $380.00 to $510.00, approved by Finance Committee on June 18, 2018. Carbon spent, replace carbon to control odors at Park Rd. lift station. Vendor selected for this purchase: Carbtrol Bids or written quotes were taken on this purchase, as follows Carbtrol total cost includes freight is $3,410.00. Rhino Industries Inc total cost includes freight is $3,564.00. Recommend Carbtrol at a cost of$3,410.00 includes freight. City Strategic Plan, Strategy 4.5 Maintain and develop community services and city facilities that support quality of X 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: DGeneral Fund: Road Use Tax: RXSewer: I]Sanitation: Bonds: ❑Federal/othergrants: F]Other(speclfy): This expenditure is to be coded to the following budget line-item: 520-14-5200-1513 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 375,000.00 and the current available balance is $ 374.251.30 Respectfully submitted, (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date City Clerk Use Only Finance Committee / Approval Date �I 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 $ 2.900.00 plus ext. shipping cost of $ 380.00 to pay for or purchase Catalytic, Tyne CAT2 Carbon for H2S odor control at Park Rd lift station This purchase or expenditure is being made because: Need to replace carbon to control odors at Park Rd lift station Vendor selected for this purchase: Carbtrol Bids or written quotes were taken on this purchase, as follows Carbtrol total cost includes freight is$3,280.00. Rhino Industries Inc total cost includes freight is $3,564.00. Recommend Carbtrol at a cost of$3,280.00 and includes 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: General Fund: Road Use Tax: Sewer: ❑Sanitation: FIBonds: Federal/other grants: ❑Other(specify): This expenditure is to be coded to the following budget line-item: 520-24-5200-1513 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 375,000.00 and the current available balance is $ g4_ 3& (es{06,a Respectfully submitted, e (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date CARBTROL" Quote CARBTROL CORPORATION Date Quote# 955 Connecticut Ave., Suite 5202 7/17/2018 53 Bridgeport, CT 06607 Phone# f ame/Address 203-337-4340 of Waterloo t of Waste Mana Easton Avenue erloo,IA 50702 Terms Rep rLeadTimeProject IDNet 30 KWK Item Qty Description Total Price09517 1,000 CAT2 Catalytic Carbon .90 2,900.00MSEstimated freight and handling to zip code 50702 .00 510.00 Quotation subject to attached Carbtrol Terns and Conditions dated 9/5/08.Shipping times are subject to confirmation. Quotation valid for thirty(30)days and is FOB:Bridgeport,CT. Total Freight quote is only valid for ten(10)days. $3,410.00 BRIAN RATH From: Rhino Industries, inc. <rhinoindustries@frontiernet.net> Sent: Wednesday,June 06, 2018 10:47 AM To: BRIAN RATH Subject: Re: Carbon for H2S Brian, Freight$275 and I would order two sacks to save in freight. Lead time 4 days tops. Tim 3� ` ,00 "cc SA.e.-K Side Note: packaging is in 1,1001b super sacks Sent from my iPhone On Jun 5, 2018,at 10:03 AM, BRIAN RATH <BRIAN.RATH WATERLOO-IA ORG>wrote: Thanks Tim, What is the cost of freight as I will need to include that in the total cost. Right now I have a cost of$2,990.00 plus freight for 1000 pond supersack. Brian From: Rhino Industries, Inc. [mailto:rhinoindustries@frontiernet net] Sent: Tuesday, June 05, 2018 6:23 AM To: BRIAN RATH Cc: Rhino Industries, Inc. Subject: Carbon for H2S Brian, $2.99/lb FOB Columbus, OH Sulfox Plus 4.Omm I've attached the specifications. Pricing is good for 30 days. This carbon meets Carbtrol's h2s capacity of.2 g/cm3 Thank you, Tim 1 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 $ 3.670.44 plus ext. shipping cost of $ 35.42 to pay for or purchase Replacement of Two (2)Gearmotors, parts and Labor for TV Camera tractor This purchase or expenditure is being made because: Right side of TV camera tractor not moving/driving with SPR2 Serial #• 15120901 Vendor selected for this purchase: Municipal Pipe Tool Co., LLC Bids or written quotes were taken on this purchase, as follows ®Bids or quotes were not taken on this purchase because: Replacement parts and labor are manufacturer specific and Municipal Pipe Tool Co., LLC is rep. to Q Cues for repair of TV camera equipment. City Strategic Plan, Strategy 4.5 Maintain and develop community services and city facilities that support quality of place. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund: Road Use Tax: FXSewer: Sanitation: Bonds: Federal/other grants: [—]Other(specify): This expenditure is to be coded to the following budget line-item: 520-14-5200-1378 (Fund - Department-Activity-Account Number) (Project Code) in which budgeted amount is $ 48,000.00 ✓ and the current available balance is Respectfully submitted, 2A Ile rL1f� (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date MUNICIPAL Invoice 515 5TH STREET - PO BOX 398 Invoice Number: PIPE TOW, HUDSON, IOWA 50643 30411 WV,ffi IPIPE.CQ1 Phone: 319-988-4205 Fax: 319-988-3506 Invoice Date: "We Protect the Environment" Jul 12, 2018 291-4311 Sold To: Ship to: CITY OF WATERLOO 3505 EASTON AVENUE CITY CLERK WATERLOO, IA 50702 715 MULBERRY ST WATERLOO, IA 50703 Customer ID Order Number Payment Terms ---- -- - -- -- —-- --- - - - WATERLci JOE SCHA—EFER Net 30 Days - - — p _ Sales Re ID _-- _ _- p Shipping Method Shi Date Due Date 06ROBINSON FEDEX 7/6/18 8/11/18 Quantity Description Unit Price Extension 1.000 REPAIR FOR: ISPR2 SERIAL NO: 15120901 SALES ORDER NO 000657509 3,670.440 3,670A4 511152 For RAeoAr 4- +ro-c6r m Ty mer.. We Provide: Subtotal 3, 670.44 Sewer Cleaning I Televising I Maintenance Contracts Sales Tax Grouting 11/1 Reductions I CIPP Lining Equipment Sales& Service Freight 35.42 Total Invoice Amount 3,705. 86 Municipal Pipe Tool Core Values: Safety I Unity I Results I Proactive Relationships I Determination Interest Rates: Invoices are due 30 days after date of invoice. Interest will be charged on all past due invoices at the rate of 1.5%per month. If payment is r received within 30 days of invoice, interest will be assessed from the first day past due. Statements will be sent on a monthly basis. "The Standard of the Ind REPAIR CERTIFICATION CUES CUSTOMER SERVICE 3600 Rio vista Ave Orlando, Florida 32805 (407)849-0190 DATE: (407)425-1569 Fax 6/29/2018 JOB ORDER NUMBER: 000657509 YOUR TRANSPORTER ASSY,M/C,LIGHT,SPR2 SERIAL NUMBER 1 15120901 received on 6/5/2018 has been repaired and bench tested for proper operation before leaving the CUES Electronic/Mechanical Repair Station. PROBLEMS OBSERVED: FISOBSOLETE; TOMER CONCERN: RIGHT SIDE DOESN'T DRIVE. H: UPON INSPECTION FOUND RIGHT SIDE NOT DRIVING DUE TO RIGHT MOTOR NOT CTIONING.MOTORS WERE REMOVED&TESTED. LEFT MOTOR PERFORMS NORMALLY(> MA) RIGHT MOTOR FAILED TO OPERATE&MUST BE REPLACED. CURRENT MOTOR STYLE WILL UPGRADE TO THE NEW REVISION. WILL INSTALL 2 NEW MOTORS; 1 MOTOR WILL BE UNDER WARRANTY. ALSO FOUND THE MOTOR PCB BOARDS TO BE HEAVILY CORRODED &NEED REPLACEMENT. DUNK TEST REVEALED A LEAK NEAR THE REAR MOTOR CAN DUE TO A DIRTY O-RING. WILL CLEAN TRANSPORTER AND REPLACE ALL ASSOCIATED O- RINGS & SEALS. REPAIRS CONSISTED OF: [NORMALLY. TALLED 2 NEW MOTORS, 1 WARRANTY PART#WS 136. REPLACED MOTOR PCB BOARDS, RT#WS405 (REV C).REPLACED ALL ASSOCIATED O-RINGS& SEALS. REASSEMBLED ALL MPONENTS WITH NEW GREASE AND BENCH TESTED; ALL FUNCTIONS PERFORMING DUNK TEST,NO LEAKS.TESTED TRANSPORTER WITH OZ II CAMERA& 8" WHEELS.L FUNCTIONS PERFORM PROPERLY; BOTH MOTORS OPERATE AT AN ACCEPTABLE 0.400MA. REPAIRED BY: 196 Upon receipt,immediately check component for proper operation. Cameras must be checked with test cable connected directly to the power control unit DO NOT USE LIGHTHEAD DURING THIS TEST! If camera operates satisfactorily,connect it to the main cable. If a problem is apparent after connecting the main cable, check connectors, main cable and slip rings for possible problem areas. If there is any abnormality in operation of the repaired components, contact your CUES Customer Service Office at once. Rental Rates for loaner equipment will be charged for any loaner not received at CUES within five(5)working days after return of repaired component. NOTE: All repairs performed by CUES INC. are covered by a 45-day service warranty from the date of repair. , day, ,uly 05, 2018 Cues Page 1 Sales Order Packing List Sales Order Number : 000657509 Rev # 2 Cues, Inc. 3600 Rio Vista Avenue Order Date Ship Location Orlando, FL 32805 6/5/2018 WI/SERV (407) 849-0190 Customer P.O. # : VERBAL BRYAN Contact : JOE SCHAEFER Requested By : SPAWLAK/NCEDENO Salesman : SANDRA PAWLAK Hold Code : C Bill To Customer # Ship To Customer # 50643000 50643009 Phone Number 3199884205 Bill To Address Ship To Address MUNICIPAL PIPE TOOL CO. WATERLOO, CITY OF P.O. BOX 398 3505 EASTON AVE HUDSON, IA 50643 WATERLOO, IA 50701 Terms 01 Ship Via : 11 FOB 02 Ln Part Number---- - ----- on Descripti --- ------ Qty Due Qty Shipd Unit Price Ext Price - ------------------- 001 8800000LABOR,ELECTRONIC PER HR. -------- ------9 --------- ---------- ----------- Ship From WI/SERV 002 7700000 CONSUMABLE STOCK CHARGE Ship From : WI/SERV 1 003 HW1563 SEAL,25ID X 32OD X 4MM W,RUBBER Ship From : WI/SERV 8 004 HW2799 0-RING,37X1MM,BUNA-N 70 Ship From : WI/SERV 2 005 HW2788 SEAL,1/2X.749X.165,DBL LIP Ship From : WI/SERV 2 006 WT046 O-RING,2-175,BUNA,F/ PR SIDE COVERS 2 Ship From : WI/SERV 007 HW1000 O-RING,2-155 BUNA Ship From : WI/SERV 1 008 712926 O-RING,2-032 BUNA Ship From : WI/SERV 1 009 8805 O-RING,CLAMP PIV0T,2-011,EP Ship From : WI/SERV 1 010 WS136 GEARMOTOR,SL-MTI, F/ SPR+LAMPII Ship From : WI/SERV USE WS135 F/ SPARE MOTOR ONLY 1 011 WS405 PCB ASSY,CURR LIMIT FILT,SPR/PR Ship From : WI/SERV CUST MAY REQ KITS MD267 &/OR MD928 2 012 WT044 O-RING,NITRILE 2-O10,TENSIONER ASSY 2 Ship From : WI/SERV 013 HW693 O-RING,2-043,BUNA-N Ship From : WI/SERV 1 014 8800000 LABOR,ELECTRONIC PER HR. Ship From : WI/SERV 2 015 WS136 GEARMOTOR,SL-MTI, F/ SPR+LAMPII Ship From : WI/SERV USE WS135 F/ SPARE MOTOR ONLY 1 016 HANDLING HANDLING CHARGES Ship From : WI/SERV 1 FEDEX GROUND TRACKING:772640808023 wf Iii -,I ty HZ Finance Comm Approval Date $ City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Department to expend $ 1,333.10 plus est. shipping costs of $ to pay for or purchase EC Blue and Black Film, Transfer Tape, 12"X 18" and 18"X 18" Sign Blanks This purchase or expenditure is being made because.- Fabricate ecause:Fabricate new signs. Vendor selected for this purchase: Newman Signs OX Bids or written quotes were taken on this purchase, as follows: Newman Si ns Inc Jamestown ND $1,333.10 Iowa Prison Industries Anamosa, IA $1,432.64 Hall Signs Bloomin ton, IN $1,572.88 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 TaxSewer ❑ ❑ Sanitation ❑X Bonds ❑ Federal/other grants ❑ Other(specify) This expenditure is to be coded to the following budget line-item: 415-17-7120-2125 (Fund - Department-Activity-Account Number ) (Project Code) in which the budgeted amount is $ 10,000.00 ' and the current available balance is $ 2,032.25 R spectfully submitted O(Sgnature Dept. ad or Designee) �(Sig 9 ) ate nature Finance Dept. Review) Date K\shared goodieslforms12018-August-Pre-Auth-Traffic-Newman-Film,Tape, Blanks-415-17-7120-2125-$1,333.10.xls(Mar 2010) j tyer< se ny Finance Committee Approval Date W/��l City of Waterloo Expenditure Pre-Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Department to expend $ 4,300.00 plus est. shipping costs of $ to pay for or purchase 250 - HIP 24" X 24" No Parkin2 Signs This purchase or expenditure is being made because: Replace faded signs. Vendor selected for this purchase: Newman Signs 0 Bids or written quotes were taken on this purchase, as follows. Newman Signs Inc. Jamestown ND $4,300.00 Iowa Prison Industries Anamosa, IA $5,700.00 Hall Signs Bloomington IN $4,358.85 [� 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 E] Road use Tax 0 Sewer F-1 Sanitation ❑X Bonds 1:1 Federal/other grants 0 Other(specify) This expenditure is to be coded to the following budget line-item: 415-17-7120-2125 & 417-17-7120-2106 (Fund - Department Activity-Account Number) (Project Code) in which the budgeted amount is 1 $ 10,000 & 10000 and the current available balance is $ 2,032.25 ~ �D.OoD Respectfully submitted, Signature Dept. ead or Designee) ate U�r�.(.( 64 Finance Dept. Review) Date K:\shared good iesWorms\2018-August-Pre-Auth-Traffic-Newman-250 NP signs-415-17-7120-2125&417-17-7120-2106-$4,300.xls(Mar 2010) CITY OF WATERLOO Committee Communication Finance Committee Meeting: 2018 Prepared:Nancy Higb� 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$346.85 for garbage fees billed in error for a vacant property located at 321 Euclid Avenue. Summary Statement: This property was vacant with no garbage use during the billing periods submitted. Water bills confirm the minimum usage threshold allowed to waive garbage fees. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information. 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. file: \C\CLERKD.A1 Council&FinanceCommu nications\CouncilCommunicationstoCouncil&OFinance\2015\FinanceCommuni cationA030915 wrbage.iefimd.doc (L«l kAz,%- —po*) WATERLOO VVA 'WORM �� n n � , 1�-S' Phone: (319)232-6280 _ I ��s A , www.waterloowater.org 325 Sycamore Street 3'�_ 't Q q—9, 3� C^��o C) W ly` Paee 1 of 1 P.O. Box 27 CAJ,*e�r le-{=) —701 Waterloo. Iowa 50704 STATEMENT OF SERVICES `J v ACCOUNT SUMMARY ustomer Name: Klein Larry ' 32cCL.t cIZ n2 Billing Frequency: Quarterly ccount Number: 113406-505801 1<t-0-jr., Billing Date: 12/17/2015 ervice Address: 321 EUCLID AVE W� Billing Due Date: 01/07/2016 Waterloo Water Works Services Service $1.10 e Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.62 Previous Balance............................... $5.74 Water Servic Water . . . . . . $ Balance Forward............................... $5.74 Water Works Subtotal . . . . .. . . . . . . . . . . . . . . . . . . $24.72 Water Works Subtotal........................... $24.72 City of Waterloo Services City of Waterloo Subtotal........................ $91.50 Sanitary Sewer. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.................... $116.22 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due............ ................ .. $121.96 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 01/07/2016................... $121.96 Garbage. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 . s. . Current Read Current Read Type Usage(CCF) - 08/14/2015 11/17/2015 245 Actual 246 Actual 1 fi SPECIAL MESSAGES LL 5 U V 4 m 3 n 2 AM N � J 0 O'I. Oh 00 ^^ Ory Ob OB lelb, 161,11' Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO� Account Number: 113406-505801 WATERLOO 1JVATER 1i1IC3RK5 TotalArnountDue: Amount Due After: 121.96 P.O.Box 27 Bitting Due Date: 01107/20 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Klein Larry 2006 Wes Dr • Waterloo, IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WA ERLQ0 W61 ER W10RK5 Phone: (319)232-6280 w www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES 0 ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 02/26/2016 ervice Address: 321 EUCLID AVE Billing Due Date: 03/18/2016 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance.... .... ..... ........ ..... ... .. $121.96 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $1.77 Credits/Payments......... ..... ... ... .. ..... ... -$121.96 Water Works Subtotal . . . . .. . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal ..... ... .. ...... ..... .... .. $26,97 City of Waterloo Services City of Waterloo Subtotal.... ... ... ..... ..... .... $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges... .... .. . . . .. . . . ... $118.47 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due... ... . . . .. . . . ...... ..... ... .. $118.47 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 03/18/2016.. .... .... ... . . ... . $118.47 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 .- . .- 11/17/2015 02/18/2016 246 Actual 247 Actual 1 7 fi V U 5 V < a 3 A 2 b � 0 ^A ^p ,p ,p 1p• ^y. ^y. ^y, ^y. ry0 ry0 ,y0 ry0 ry0 ry0 .p0 .�0 ry0 —_----_—--- _ Please detach and return the bottom portion with your payment.See reverse side for additional information a Account Number: 113406-505801 WATERLOC3WATER 1NQR 5 �� , e �,. ro�sce P.O. Box 27 Amount Due After: 118.47 Waterloo,Iowa 50704 ^' ' + i• ; _" ` ., Phone:(319)232-6280 Amount Enclosed: „®. Klein Larry 2006 Wes Dr Waterloo, IA 50701 WATERLOO WATER WORKS P.O. BOX 27 ❑Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WATER O RKS Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 05/27/2016 ervice Address: 321 EUCLID AVE Billing Due Date: 06/20/2016 Waterloo Water Works Services CHARGE summARY Water. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance............................... $118.47 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . . Credits/Payments............................. . $1.77 -$118.47 Water Works Subtotal . . . . .. . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal........................... $26.97 City of Waterloo Services City of Waterloo Subtotal........................ $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.................... $118.47 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $118.47 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 06/20/2016................... $124.31 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 02/18/2016 05/19/2016 247 Actual 247 Actual 0 fi M SPECIAL MESSAGES LL 4 v a U 3 m OI 2 N u 1 0 O'L Ob 00 '.� pry 00 pp ry0^p ryp^p ryp°p ry0°a °6 le le ryp,��a ryp,�0 Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 113406-505801 WATERLOO WATER WORKS Total Amount Due: 118.47 Amount Due After : 124.31 P.O. Box 27 Billing Due Date; 06/20/2016 Waterloo,Iowa 50704 Phone:(3191232-6280 Amount Enclosed: Klein Larry 2006 Wes Dr REMIT TO: Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA AR 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 a ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 08/30/2016 ervice Address: 321 EUCLID AVE Billing Due Date: 09/21/2016 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance.. ... . . . .. . . . .. .... ..... . . ... .. $118.47 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $1.77 Credits/Payments. . ... ..... ... .. . ..... ..... ... . -$118.47 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal. ..... ..... ... ..... ........ $26.97 City of Waterloo Services City of Waterloo Subtotal. . .. . . ....... ..... . ..... $91.50 San itarV Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. ...... . . . .. . . .... . $118.47 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.. ... . . . .. . . . ...... ..... . ..... $118.47 Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 09/21/2016... . .. ..... ... .. .. . $124.31 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 05/19/2016 08/19/2016 247 Actual 247 Actual 0 6 U6 4 9 U 3 m p, 2 m m 1 0 ph 00 .� p`L pb 1§1 ^^ 01 ph _----- ---------— — —_-- Please detach and return the bottom portion with your payment.See reverse side for additional information ' Account Number: 113406-505801 WATERLOO WA ER WC3fLK5 #! v_ Vi s, _ 3 r c . Amount Due After: 124.31 P.O.Box 27 . ��ii Waterloo,Iowa 50704 '� - Phone:(319)232-6280 Amount Enclosed: . pg• Klein Larry 2006 Wes Dr a Waterloo,IA S0701 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 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 a ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 12/02/2016 ervite Address: 321 EUCLID AVE Billing Due Date: 12/27/2016 Waterloo Water Works Services CHARGESUMMARY Service $1.20 e Excise Tax. . .. . . . . . . . . . . . . . . . . . . . $1.77 Previous Balance............................... $118.47 Water Servic Water . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . $ Credits/Payments.............................. $118.47 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal........................... $26.97 City of Waterloo Services City of Waterloo Subtotal........................ $91.50 Sanitary Sewer. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.................... $118.47 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $118.47 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 12/27/2016................... $124.31 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 08/19/2016 11/21/2016 247 Actual 247 Actual 0 SPECIAL MESSAGES6 U6 V 4 U 3 S 2 W m i 0 �1p, ry�R ^h X15 ��b ry.b ^p rys0 4 O O p p -------------- Please _.___---_Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 113406-505801 WATERLOO 'k &UJ WORKS Total Amount Due: 118,47 P.O.Box 27 Amount Due After : 124.31 Waterloo,Iowa 50704 Billing Due Date: 12/27/2016 Phone:(319)232-6280 Amount Enclosed: DD Klein Larry 2006 Wes Dr Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WA WORKS Phone: (319) 232-6280 • I www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 03/02/2017 ervice Address: 321 EUCLID AVE Billing Due Date: 03/23/2017 Waterloo Water Works Services Previous Balance. ........ ..... ... . .... ..... ... . $118.47 Service $1Credits/Payments.. ... .... Water . . . . . . $ .20 . ..... ... ..... ..... .. Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 -$118.47 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal. ..... .. ... ... . .... ...... ., $26.97 City of Waterloo Services City of Waterloo Subtotal ..... ...... .. ..... .... .. $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges. ...... . . ..... ...... $118.47 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due. ... . . .. $118.47 . . . . .. .... .... . ..... .. Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 03/23/2017.. ...... ..... .. ... . $124.31 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 11/21/2016 02/22/2017 247 Actual 247 Actual 0 6 LL 5 U 4 V 3 d M 1 N w 1 a -------- ----------- Please __.____Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 113406-505801 WATERLOO Wall,6A.WORKS T _ Amount Due After: 124.31 P.O. Box 27 Waterloo,Iowa 50704 ��-- � �� ' '- Phone:(319)232-6280 Amount Enclosed: , ••• Klein Larry 2006 Wes Dr Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO,IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO WAT (0 5 Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES M ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 06/02/2017 ervice Address: 321 EUCLID AVE Billing Due Date: 06/23/2017 Waterloo Water Works Services Water. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance..................... .......... $118.47 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . . $1.77 Credits/Payments.............. ................ -$118.47 Water Works Subtotal . . . . .. . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal........................... $26,97 City of Waterloo Services City of Waterloo Subtotal........................ $91.50 Sanitary Sewer. . . .... . . . .. . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.................... $118.47 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.............................. $118.47 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 06/23/2017................... $124.31 Garbage . . . . . . ...... . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 02/22/2017 05/19/2017 247 Actual 247 Actual 0 s LL 4 SPECIAL MESSAGES U 9 U m 2 m m � N J 0 p p Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE tHEM PAYABLE TO: Account Number: 113406-505801 WATERLOO 1N&-W,; WC R S Total Amount Due: 11&4 Amount Due After : 124.31 P.O.Box Billing Due Date: 06 Waterloo,Iowaa 50704 /23j2017 Phone:(319)232-6280 Amount Enclosed: DD Klein Larry 2006 Wes Dr Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO RKS Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 08/30/2017 ervice Address: 321 EUCLID AVE Billing Due Date: 09/21/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance. . ... ..... ..... ...... .. ... .... . $118.47 Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . $1.77 Credits/Payments.. . ... ..... ...... .. ... .. ...... -$118.47 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal.. ..... ...... .. ..... ......, $26,97 City of Waterloo Services City of Waterloo Subtotal...... ...... ..... .. ... . . $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges..... .. . . ... . .... ... $118.47 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.... ..... ..... ... ..... ........ $118.47 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 09/21/2017. ... .. . . .. . . . .. .... $124.31 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 05/19/2017 08/18/2017 247 Actual 248 Actual 1 1 SPECIAL ME co 8 o.8 00 b 0.4 m u 0.2 0 .00 ryp .00 ,y0 ryp ry0 ry0 ry0 ryp ---------------------—— ____________..__— ----- _____— ______ Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 113406-505801 WATERLOO WA ER WOR15 �. Amount Due After: 124.31 P.O. Box 27 Waterloo, Iowa 50704 F O Phone:(319)232-6280 Amount Enclosed: Klein Larry 2006 Wes DrRIMIT TO, Waterloo,IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATERLOG) WA. �� WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 11/30/2017 ervice Address: 321 EUCLID AVE Billing Due Date: 12/21/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.20 Previous Balance.... . .. . . . .. . . . ...... ..... . . . .. $118.47 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $1.77 Credits/Payments. .. . ..... ..... ...... ....... .. . -$118.47 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $26.97 Water Works Subtotal. . . . .. . . . .. .. $26.97 City of Waterloo Services City of Waterloo Subtotal.... ..... . . . ... . . . .. . ... $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. .. ...... ..... .. .. . $118.47 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due.. .... ..... ...... ....... ... ... $118.47 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 12/21/2017. . .. .... ..... ...... $124.31 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 08/18/2017 11/20/2017 248 Actual 248 Actual p LL08 V10 6 mm 0.4 w 0.2 a ATEFgj pp �� p`7' p5 pp ,� pry p5 pp `L ry ry ry ry ryp ryp ryp ryp Pease detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 113406-505801 WATERLOO WA ' ORKS ® Amount Due After: 124.31 P.O.Box 27 Waterloo, Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Klein Larry 2006 Wes Dr Waterloo, IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑ Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side "NATERL00 WA W10RKS -- Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES I 11M 1:11! r 7ervice omer Name: Klein Larry Billing Frequency: Quarterly unt Number: 113406-505801 Billing Date: 03/01/2018 Address: 321 EUCLID AVE Billing Due Date: 03/22/2018 Waterloo Water Works Services Previous Balance. ... . ... .. ... .. ...... ..... .... . $118.47 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $27.70 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . $1.94 Credits/Payments. ... ..... ..... ... . ... . . .. . . ... -$124.31 y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.84 Late Penalty Balance Forward.. . . .... ..... ...... ..... ...... . -$5.84 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $35.48 Water Works Subtotal. . . .. . . . .. .... .... . .. ... ... $35.48 City of Waterloo Services City of Waterloo Subtotal... ..... ... ..... ... .. ... $91.50 San itarV Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges... ........ ..... ... . $126.98 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due... ... ..... ...... . . . .. . . . .. . .. $121.14 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 03/22/2018.. ...... .. ... .. ... . Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 $127.11 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 11/20/2017 02/21/2018 248 Actual 249 Actual 1 LL o.a 0 0.6 dao a „oz 0 41 pp ^^ �p h0 ,yp ryp ryp ryp tip ryp^ ryp^ Pease detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 113406-505801 WA ERLOOV'JAT R WORKS � ► ' r,�bu�st, Amount Due After: 127.11 P.O. Box 27 Waterloo,Iowa 50704 » > :' Phone: (319)232-6280 Amount Enclosed: d®• Klein Larry 2006 Wes Dr �111210s Waterloo, IA 50701 WATERLOO WATER WORKS P.O.BOX 27 ❑Please check box if contact information requires WATERLOO.IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO Wi T WORKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Pai=e 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES INe ustomer Name: Klein Larry Billing Frequency: Quarterly ccount Number: 113406-505801 Billing Date: 06/04/2018 ervice Address: 321 EUCLID AVE Billing Due Date: 06/25/2018 Waterloo Water Works Services 0111 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pr $27.70 eviousBalance. .. ... ... .. ..... .. . . .. $121.14 $1.94 Water Service Excise Tax . . . . . . . . . . . . . . . . . . . . . . Credits/Payments. . . ... ... .. ...... ..... .. ... ... -$155.11 Service Charge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28.00 Balance Forward... ... ..... ..... .. . . .... . ...... -$33.97 Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.97 Water Works Subtotal.. . . . .. . . ...... . . . .. . . . ... Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $63.61 $63.61 City of Waterloo Services City of Waterloo Subtotal ... . . . .. . ... . ... . .. ..... $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Current Service Charges. . . . .. .. $155.11 $42.75 .. ..... .. ... Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Amount Due..... . .. . . . .. . . .. ..... . .... ... $121.14 $ Amount Due After 06/25/2018... ........ ..... ... Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $99.00.00 $127.11 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 02/21/2018 05/22/2018 249 Actual 249 Actual 0 LLOB V O.fi m 0.4 w 0.2 0 ryp 'yp ryp `r '� ryp Please detach and return the bottom portion with your payment.See reverse side for additional information • Account Number: 113406-505801 WATERL0C7 WATER WORKS z iiA _ - P.O. Box 27 Amount Due After: 127.11 Waterloo, Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Klein Larry 2006 Wes Dr • Waterloo,IA 50701 WATERLOO WATER WORKS P.O. BOX 27 Please check box if contact information requires WATERLOO. IOWA 50704 updating and indicate the change(s)on reverse side WATERLOO W4A WC.RK5 Phone: (319)232-6280 325 Sycamore Street www.waterloowater.org P.O. Box 27 Paee 1 of 1FINAL BILL Waterloo, Iowa 50704 STATEMENT OF SERVICES ustomer Name: Klein Larry Billing Frequency: Quarterly Account Number: 113406-505801 Billing Date: 06/29/2018 ervice Address: 321 EUCLID AVE Billing Due Date: 07/23/2018 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance.... ... ..... ...... . . . . $121.14 $11.70 • •��•• Water Service Excise Tax. . . . . . . . . . . . . . . . . . . . . . Credits/Payments. . . .... ..... ...... .. ... .. ... . . -$121.14 $0.82 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $12.52 Water Works Subtotal... ..... ...... . . ..... ...... $12.52 City of Waterloo Services City of Waterloo Subtotal.... ..... .. . . .. . . . .. .... $25,87 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $18.05 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3.57 Total Current Service Charges. . . .. . ... . .... .... . . $38.39 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3.90 Total Amount Due.... . .. . . . .. . . . ...... ..... ... . $38.39 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0.35 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $25.87 Mal .- 05/22/2018 06/29/2018 249 Actual 249 Actual 0 U 0.8 U0fi Z' w N 0.2 0 EEE4 Oy pp ^N & & 1P ti `ti ti Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 113406-505801 WATERLOO ORKSx h P.O.Box 27 Amount Due After: 38.39 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: . rE. Klein Larry 2006 Wes Dr Waterloo, IA 50701 WATERLOO WATER WORKS P.O. BOX 27 ❑ Please check box if contact information requires WATERLOO, IOWA 50704 updating and indicate the change(s)on reverse side CITY OF WATERLOO Committee Communication Finance Committee Meeting: 082018 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$22.80 for garbage fees billed in error on a vacant property located at 554 Adrian. Summary Statement: This property was vacant with no garbage use during the billing periods submitted. Water bills confirm the minimum usage threshold allowed to waive garbage fees. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: 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. filed/K\CLERKDAT\Council&FinanceCommm�icationa\Counci[CommunicationstoCouncil&OFinance\20151Finai Communi c,tion\030915.Qarbage reftmd.doc CITY OF WATERLOO , IOWA PUBLIC WORKS SANITATION DEPARTMENT 625 Glenwood St. Waterloo, IA 50703 .Phone(319)291-4455 Fax(319)291-4094 Yfatior QUENTIN HART To: Nancy Higby COUNCIL MEMBERS From: Ella Ellis ................... Re: 554 Adrian St. MARGARET KLEIN Ward I We approved the refund request for $22.80, Water Works records show zero BRUCE water usage that the property was vacant. JACOBS YYard 2 PATRICK MORRISSEY IJ'ard 3 JEROME AMOS,JR Ward 4 CHRIS SHIMP Ward 5 SHARON NON At-Large STEVE SCHMITT AvLarge WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer Dear Finance Committee, I am writing to request a refund on garbage service at 554 Adrian in Waterloo. I am a investment property owner and the property at 554 Adrian has been vacant for several months with no garbage usage. The billing date is 1/17/18, the cost is$22.80 and my account is #101969-521788. Thank you for your time and your consideration. Regards, Mike�Grittzzmac/h�er - Northwoods Properti LLC a. S t_. Yom♦ '�� ''Y w F325 TERLOO WATER WORKS Phone:(314)232-6260 ycamore Streetavww.waterloowaterorg ox 27Pace 1 of 1 loo,Iowa 50704 STATEMENT OF SERVICES at tomer Name: Northwoods properties Gitlin Frequency:Billing eq ncy: Quarterly count Number: 101969-521788 Billing Date: 01/17/2018 rvice Address: 554 ADRIAN ST Billing Due Date: 02/07/20;8 Waterloo Water Works Services Water..- $23.08 Water WaksSuttotat.....AR ESUM........... . Water Service Excise Tax... .......... $24.70 $162 Water Works Subtotal....._., $24.70 Ctyof Watcbo Suttotal......._............... S65.39 City of Waterloo Services Taal Current Service Ctwges.................... $90.09 San itary S -- Total Amount Due. . . . ... ....._.. W-09..... .. $ $6.62 Arnourt CueAfter 02/97/2018.__..._....-..... Storm Water Fee............................. $6.97 59451_ Garbage $22.80 City of Wale rloa Subtotal...................... $65.39 10/28/2017 01110;2018 767 Actual 767 Actual 0 p• 2S: $a 1-0, E s a ,Pfi �` ,PA ,PP fir' 10$. ________________________________________________ Fleasedea&ardreturrdebottan _________________________________ POitgn Yl1at Yorr Pi/rfEr!C SEE tNEr?E SqE{tt addW Cr el MfGrtY'aSKr MAIKE CHECKS PAYABLE TO: Account Number: SDi9 59-521788 WATERLOO W TER-WORKS TotalAmount Due: ga PD Bax 27 - Amount Due After: 945 Water bo,lwa50704 8i8ing Due Date: 02/07/2018 PlmrW(319)232-6280 Amount Enclosed: .rt Nattwoocls Properties PO BOX ZA LaCrosse,WI 546020294 WATERLOO WATER MRKS P.O.BOX 27 WATERE00,pWA 507D4 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 08 2018 Prepared: Nancy Higby 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$139.50 for garbage fees billed in error on a vacant duplex located at 827 and 829 E. Ridgeway. Summary Statement: This property was vacant with no garbage use during the billing periods submitted. Water bills confirm the minimum usage threshold allowed to waive garbage fees. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: 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. tile:Lit\CLtil K:: I'1Council&FinanceCommunications\Council Comm unica[ionstoCouncil&OFinanceA2015\FinanceCommuni cation\030915 garbage refund.doc m 1' July 3, 2018 TO WHOM IT CONCERNS: I am the home owner at 827 and 829 East Ridgeway in Waterloo, IA 50702 The home has been vacant since January and we stopped garbage pick up before that. We were billed the whole amount for both addresses of the duplex. I was told that I have to submit a letter to the city of Waterloo for a full refund of these fees. Our mailing address is Donna Wilson 25887 219'h Ave. Delhi, IA 52223 My phone# is: 863 797 7500 ,WATERLOO WA_T_R WORKS Phone: (319) 232-6280 325 Sycamore Street www.waterloowater.org P.O. Box 27 Statement 1 of 2 Waterloo, IA 50704 STATEMENT OF SERVICES IT)F11• Customer Name: Wilson Donna Account Number: 108810-503875 Billing Frequency: Quarterly Service Address: Billing Date: 5/16/2018 827 E RIDGEWAY AVE Billing Due Date: 6/7/2018 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Previous Balance. . . . . . . . . . . . . . Water Works Subtotal. . . . . . . . . . . . . • 1.94 . . . . . . . . . . . . . . . . .144-60 Credits/Payments. . . . . . . . . . . . . . . . . . . . . . • � • • • • • • • • . . . .$29.64 . . . . . . . . . . . 144.60 CR Deposit Payment . . . . . . . . . . . ... .. . . . . .. . . . . . . . . . . . . . . . .. . . . . .0.00 Balance Forward . . . . . . . . . .$0.00 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42.75 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . .29.64 Storm Water Fee. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.25 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . .97.50 Garbage of Waterloo Subtotal . .. . . . . . .. . . . . . . . .. . . 47.5p Total Current Service Charges. . . . . . . . . . . . . . . . .127.14 Total Amount Due. . . . .. . . . . . . . . . . . . . .. . . . . . . . .$127.14 Amount Due After 06/07/2018. . . . .. . . . . . . . . . ...$133.41 1/30/2018 5/2/2018 2 779 - 40 2,779 Actual 0 30 20 10 0 Please detach and return bottom portion with your payment.See reverse side for additionai#06/07/2018-� fation. • #rr 108810-503875 WATERLOO WAS R WORKS $133.41P.O. Box 27Waterloo, IA 50704 Autopay--Do Not Pay Total Amount Due will be withdrawn from you bank account • • ' on 6/7/2018 ADDRESS SERVICE REQUESTED 7 1 I"IIIIIIII'll'IIIIIIIIII�II,IIIIIIII�I�III'I"I'llllllll'll'llll • �• WILSON DONNA WATERLOO WATER WORKS 117 MONTANA AVE PO BOX 27 a DAVENPORT, FL 33897-5621 WATERLOO IA 50704-0027 III'IIIIIIIIIII'IIIIIIIIIIIII'I'II'll'IIIIIIIII�IIII"IIIIIIIIIII Please check box if your contact information requires updating and indicate the change(s)on reverse side. I"= REMITTANCE PTI NS B m i: ment to reach our affiee by the due date to avoid fate charges. When mailing your payment please allow sufficient time for the pay In nPrrsOnldritrP r�nddrOD box: At our business office, 325 Sycamore Street, located at the East 3rd Street entrance. Pav station: Hy-Vee Crossroads and Hy-Vee University. pre authorized Daymen Pay directly from your bank account. Fill out the form below. (No fee charged) DabitdCredit car - Iles Pay in person or online at www.waterloowater.org (fee applies) BILLING INFO MATT N Water rates are set by the Waterloo Water Works Board of Trustees. Sewer, garbage and storm water management rates are set by the Waterloo City Council. A minimum bill will be charged to all active accounts even if no consumption is registered. Bills are due upon receipt. A penalty is added to all accounts not paid on or before the due date. A returned check fee will be charged on any returned check. New accounts require a service contract signature and tenants must pay a deposit. You will be held responsible for all charges until notice is received and a final reading obtained. USEFL PANE NUMBERS 232-6280 exts 3907, 3906 Service turned on or off 232-6280 ext 3906 Billing questions Residential 232-6280 ext 3905 Billing questions Commercial 232.6280 eats 3913, 3911, 3912 Payment-credit-collections questions 291-4323 City Clerk's Office Garbage, sewer, storm water mgmt fee reduction application 715 Mulberry St application 291-4323 City Clerk's Office Private hauler garbage exemption app 715 Mulberry St Questions regarding garbage, yard waste, recycling collections/cans 291-4455 PublicWorks Facility 625 St WATERLOO WATER WORKS AUTOMATIC PAYMENT PLAWDIRECT PAY Sign up today to begin enjoying the benefits and convenience of DIRECT PAY I authorize WATERLOO WATER WORKS and the financial institution named below to initiate variable entries to my checking/savings account. such a time This authority will remain in effect until I notify the WATERLOO WATER WORKS thath iremain r the institutionnancial in obligatedto pay for rutility services to inncel it'the event that a to afford the financial institution a reasonable opportunity to act. Also, ag charge to my account is dishonored,for whatever reason, and that the WATERLOO WATER WORKS retains its normal collection rights. Phone _— - - _ ww`dd Account Number_-----_ flitV- - it State - ZiP Address _____.__-------- ti'a:ne of Financial!nstiiaron --------------- Bank!Transit?Route#(9 digits] ------. - ----------------------- Select One: i l' Ohecking Account iSavings Account `Please enclose a voided check' ! contact information Update-Please complete this section it your information on reverse side is Ircorrect Phone Number: - -- 1 ?ate&Z.p: --._-. ---- Address: l -- _^ E-Mail Address' --------------- MS Re rdera1509578 .WATERLOO WATER WORKS Phone: (319) 232-6280 325 Sycamore Street www.waterloowater.org P.O. Box 27 Statement 2 of 2 Waterloo, IA 50704 STATEMENT OF SERVICES Customer Name: Wilson Donna Account Number: 108811-503875 Billing Frequency: Quarterly Service Address: 829 E RIDGEWAY AVE Billing Date: 5/16/2018 Billing Due Date: 6/7/2018 Waterloo Water Works Services CHARGE SUMMARY Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27.70 Sales Tax. . . . . . . . . . . . . . . . Previous Balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173.64 Water Works Subtotal. . . . . . . . . . . . 1 .94 Credits/Payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173.64 CR $29.64 Deposit Payment. . Balance Forward. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .0.00 Axa Y e $0.00 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42.75 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42.25 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . .29.64 Garbage. . . . . . . . . . . . City of Waterloo Subtotal . . . . . . . . . . . 144.00 . . . . . . . . . . . . . . . . . . . . . . Total Current Service Charges. . . . . . City of Waterloo Subtotal... .. ... . . . . . . .. . . . .$144.00 . . . . . . 173.64 ^,Jt Total Amount Due. . . . . . . . . . . . . . . . . . . . .$173.64 Pot? Amount Due After 06/0712018.. .. .. . . . . . . . . .. $182.23 0, 1 -73 - 1A q3 .3 1/30/2018 5/2/2018 1,255 1,255 Actual 0 10 81M0Ra2_qqLjffijTjj 'lei um 6 2 (/ Please detach and return bottom portion with your payment.See reverse side for additional inforrrlation. . Account Number: 108811-503875 WATERLOO WATER WORKS Amount Due After 06/07/2018: $182.23 P.O. Box 27 ` Waterloo, IA 50704 Amount Enclosed: $ Autopay--Do Not Pay Total Amount Due will be withdrawn from you bank account • - on 6/7/2018 ADDRESS SERVICE REQUESTED 7 1 I"Idlllll'll'llllllllll�ll,IIIIIIII�I�III'I"I'llllllll'll'llll • WILSON DONNA WATERLOO WATER WORKS 117 MONTANA AVE PO BOX 27 DAVENPORT, FL 33897-5621 / WATERLOO IA 50704-0027 N W A m III'IIIIIIIIIII'IIIIIIIIIIIII'I'Il'Il'Illlllll61111ulllllllllll Please check box if your contact information requires updating and indicate the change(s)on reverse side. REMITTANCE OPTION mail: When mailing your payment please allow sufficient time for the payment to reach our office by the due date to avoid late charges. Mrs up/drop box: At our business office, 325 Sycamore Street, located at the East 3rd Street entrance. Pav sta i n: Hy-Vee Crossroads and Hy-Vee University. Pre authorizedpayment: Pay directly from your bank account. Fill out the form below. (No fee charged) Vabit/Credit card Pay in person or online at www.waterloowater.org (fee applies) 81LLININF 13MA ION Water rates are set by the Waterloo Water Works Board of Trustees. Sewer, garbage and storm water management rates are set by the Waterloo City Council. A minimum bill will be charged to all active accounts even if no consumption is registered. Bills are due upon receipt. A penalty is added to all accounts not paid on or before the due date. A returned check fee will be charged on any returned check. New accounts require a service contract signature and tenants must pay a deposit. You will be held responsible for all charges until notice is received and a final reading obtained. ISEFUL PHONE NUMBERS 232-6280 exts 3907, 3906 Service turned on or aft 232-6280 ext 3906 Billing questions Residential 232-6280 ext 3905 Billing questions Commercial 232-6280 exts 3913, 3911. 3912 Payment-credit-collections questions Garbage, sewer, storm water mgmt fee reduction application 291 4323 7115 Mulberry St Officey Clerk's 291-4323 City Clerk's Office Private hauler garbage exemption application 715 Mulberry St Questions regarding garbage, yard waste, recycling collections/cans 291-4455 PublicWorks Facility 625 WATERLOO WATER WORKS AUTOMATIC PAYMENT PLAN/DIRECT PAY Sign up today to begin enjoying the benefits and convenience of DIRECT PAY I authorize WATERLOO WATER WORKS and the financial institution named below to initiate variable entries to my checking/savings account. This authority will remain in effect until I notify the WATERLOO WATER WORKS or the financial institution in writing to cancel it in such a time as to afford the financial institution a reasonable opportunity to act. Also, I agree that I remain obligated to pay for utility services in the event that a charge to my account is dishonored,for whatever reason, and that the WATERLOO WATER WORKS retains its normal collection rights. V4 WW Account Number _ State City Address __._ Name Account Nurnner ..___ __ - Bank Transit;Rcu;e « 9 -_ - - Select One: Checking Account Savings Accoun" "Please enclose a voided check I Contact intormation Update- please complete this section if vour information on reverse Si s is incorrec, Fi;ene Number'. -__.______ _— i i 1 Name State!i Ali}. Address: - — poi Reorder 9 1509578 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 0 2018 Prepared: Nancy Hig_by 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$315.00 for garbage fees billed in error for a vacant property located at 823 Progress Avenue. Summary Statement: This property was vacant with no garbage use during the billing periods submitted. Water bills confirm the minimum usage threshold allowed to waive garbage fees. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: 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. f I e:L;_/K:\CL ERKUAF\Counci I&Fi nanceCommun i cal ions\Counci IC ommun icationstoCounci I&OFi nance,20 15\FinanceCommun i cationA030915 Qarba e refund.doc V''W WATERLOO WWORKS 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: Williams Kenneth Billing Frequency: Quarterly ccount Number: 115140-506611 Billing Date: 03/07/2016 ervice Address: 823 PROGRESS AVE Billing Due Date: 03/28/2016 Waterloo Water Works Services CHARGE SUMMARY $2.21.50 Previous Balance............................... $126.51 Sales Tax. . . . ... . . . . . . . ... . . . . . . . . . . . . . . . . . . . $2 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Credits/Payments.............................. $132.73 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.71 Balance Forward............................... -$6.22 City of Waterloo Services Water Works Subtotal........................... $33.71 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . .. . ... $42.75 City of Waterloo Subtotal........................ $91.50 Storm Water Fee . . . .. .. . .. . . . . . . . . . . . . . . . . . . . $8.25 Total Current Service Charges.................... $125.21 Yard Waste. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . $9.00 Total Amount Due....................... ....... $118.99 Garbage. . . . .. . . . . . . . ..... . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 03/28/2016................... $118.99 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 A-- � G -�� C3\� T-A�-423 Previous Read Date CutrentReadDate Pi evous Read Previous Read Type Current Read Current Read Type Usage(CCF) 11/23/2015 02/23/2016 248 Actual 248 Actual 0 12 LL 10 U 8 6 m w a m m 2 0 SPECIAL MESSAGES Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 115140-506611 WATERLOO WATER WORKS Total Amount'Due: • P - Amount Due After : 118.99 P.O.Box 27 Waterloo,Iowa 50704 Billing Due Dated 03/2 Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St • Ames,IA 50014 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 W6ZQLW10RK5 Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES • 7ervice mer Name: Williams Kenneth Billing Frequency: Quarterly unt Number: 115140-506611 Billing Date: 06/03/2016 Address: 823 PROGRESS AVE Billing Due Date: 06/24/2016 Waterloo Water Works Services $2.50 Previous Balance... .. . . .. . . ...... . .. .. . . . .. . ... $118.99 Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Credits/Payments. ... ..... ..... ...... ..... ... . . $124.83 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.21 Balance Forward . .. ......... ........ ..... .... . . -$5.84 Late Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.84 Water Works Subtotal . . . . .. . . . . . . . . . . . . . . . . . . $39.55 Water Works Subtotal ..... ..... ... ..... ..... ... , $39.55 City of Waterloo Services City of Waterloo Subtotal ..... ...... . . . .. . . . ... .. $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges... ...... ..... .. .. . . $131.05 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.2S Total Amount Due... ..... ... .. ...... ..... .. .. . . $125.21 Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 06/24/2016... .. . ... .. . .... ... $131.37 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 02/23/2016 05/25/2016 248 Actual 248 Actual 0 2 LL,o U e U 6 v m 4 m a 2 0 --------------------------- Please -- -Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 115140-506611 WATERLOO WATER WORKS P.O. Box 27 Amount -� Due After: 131.37 Waterloo,Iowa 50704` Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St Ames, IA 50014 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 WORKS Phone: (319)232-6280 ti 325 Sycamore Street www.waterloowater.org P.O. Box 27 Paee 1 of 1 Waterloo. Iowa 50704 STATEMENT OF SERVICES MINIM= Emm ustomer Name: Williams Kenneth BillingFrequency: ccount Number: 115140-506611 q Y Quarterly Billing Date: 09/06/2016 ervice Address: 823 PROGRESS AVE Billing Due Date: 09/27/2016 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance.... ... ..... .... $125.21 $31.50 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Credits/Payments. . . .. ..... .. ... ... ..... . ...... $2.21 -$125.21 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.71 Water Works Subtotal . . . . .. . . . .. . ... ..... ......, City of Waterloo Services $33.71 City of Waterloo Subtotal... . ... . ... ... .. ..... .. . $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Current Service Charges. ..... . .......... ... $125.21 $8.25 Total Amount Due........ ..... ...... .. ..... ... . Yard Waste . . . . . . . . . . . . . . . . . . . . $9.00 $125.21 . . . . . . . . . . . . . . Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount Due After 09/27/2016.. ...... ..... ...... $131.37 $31.50 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 05/25/2016 08/24/2016 248 Actual 249 Actual 1 ,z LL 10 V e u — 6 m w a m 2 p5 p9 ^^ p'I' p5 p9 ^^ pti ph ti ry ry Please detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 115140-506611 WATERLOOWATER WOKS ,i Y 6x � + P.O.Box 27 Amount Due After: 131.37 Waterloo,Iowa 50704 � -I ` "_-- Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St Ames,IA 50014 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 1/V T R 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 L mer Name: Williams Kenneth Billing Frequency: Quarterly nt Number: 115140-506611 Billing Date: 12/07/2016 e Address: 823 PROGRESS AVE Billing Due Date: 12/30/2016 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Previous Balance.. ... ..... ..... .. . . .. . . ... . . .. . $125.21 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.21 Credits/Payments. ...I ..... ..... ...... .. ... ... . -$125.21 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.71 Water Works Subtotal... ..... ...... ..... ...... ., $33.71 City of Waterloo Services City of Waterloo Subtotal. ... ..... . .. ... .. ...... . $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8Total Current Service Charges. . ...... ..... .. ... . . $125.21 .25 Total Amount Due.... ..... ..... ... ... .. ..... ... Yard Waste. . . . . . . . . . . . . . $9.00 $125.21 . . . . . . . . . . . . . . . . . . . . Garbage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 12/30/2016... . .. ... .. ... .. .. . $131.37 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 08/24/2016 11/29/2016 249 Actual 249 Actual 0 2 LL 10 U 8 U N w 4 N W 2 0 Op ^1 pry p5 pQ ^^ p.y py 0 ryO,b ,10,x' rypy �� 1h 4h \F' ,p p p ,1p 20 .ip ,1p ryp ,o'. Please detach and return the bottom portion with your payment.See reverse side for additional information ,71 T11 • Account Number: 115140-506611 WATERLOO1NATER WpRFCS Amount Due After: 131.37 P.O. Box 27 Waterloo,Iowa 50704 Phone: (319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St • Ames, IA 50014 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 a ustomer Name: Williams Kenneth Billing Frequency: Quarterly ccount Number: 115140-506611 Billing Date: 03/07/2017 ervice Address: 823 PROGRESS AVE Billing Due Date: 03/28/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . .. . . $31.50 Previous Balance............................... $125.21 Sales Tax. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.21 Credits/Payments.............................. -$125.21 Late Penalty. .. . . . . ..... . . . . . . . . . . . . . . . . . . . . . $6.16 Water Works Subtotal..................... ...... $39.87 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $39.87 City of Waterloo Services City of Waterloo Subtotal...................... .. $91.50 Total Current Service Charges.................... $131.37 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . $42.75 Total Amount Due.............................. $131.37 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Amount Due After 03/28/2017............... .... Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 $137.53 Garbage. . . . . . . . . . . . . . . . .. . . .. . . . .... . . . . . . . $31.50 City of Waterloo Subtotal . . .. . . . . . . . . . . . . . . . . . . $91.50 11/29/2016 02/28/2017 249 Actual 249 Actual p SPECIAL MESSAGES �a LL 6 U 5 m 4 0 m 2 m 7 � OS ti0,6 ti° do°y ti0 ,o^� ° O o Please detach and return the bottom portion with your payment.See reverse side for additional information MAKE CHECKS PAYABLE TO: Account Number: 115140-506611 WATERLOO -VI�ATE R_W O R K5 Total Amount Due; 131.37 Amount Due After: 137.53 P.O.Box 27 Waterloo,Iowa 50704 Biking Due Date: 03/28/2417 Phone:(319)232-6280 Amount Enclosed: DD Williams Kenneth 50073 150th St REMIT TO: Ames,IA 50014 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 WORD S Phone: (319)232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES F mer Name: Williams Kenneth Billing Frequency: Quarterly nt Number: 115140-506611 Billing Date: 06/07/2017 e Address: 823 PROGRESS AVE Billing Due Date: 06/28/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Previous Balance... ... ..... ....... . ... . . . .. .... $131.37 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.21 Credits/Payments....... ... .. .... ... ..... . ..... -$131.37 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.71 Water Works Subtotal.. ..... ...... ..... .. ....... $33.71 City of Waterloo Services City of Waterloo Subtotal.... .. .... . . . .. . . . ...... $91.50 Sanitary Sewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.... . .. ... .. ..... ... $125.21 Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 Total Amount Due....... . .... ...... . .. ... . ..... $125.21 Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 06/28/2017... ...... ..... ..., Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 $131.37 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 e .• ®. .m i. - a .s r r r- a 02/28/2017 05/24/2017 249 Actual 249 Actual 0 is LL 8 U 6 m 4 m a Z 0 E - p rip tip .y0 ,yp ,v0 ,y0 ,vp ryp� np, Pease detach and return the bottom portion with your payment.See reverse side for additional information Account Number: 115140-506611 WATERLQC7 WATER WQRKSpltrsau + Amount Due After: 131.37 P.O. Box 27 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St jMii TO: Ames,IA 50014 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 WAgjX WURKS Phone: (319) 232-6280 www.waterloowater.org 325 Sycamore Street Paee 1 of 1 P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES rervice omer Name: Williams Kenneth Billing Frequency: Quarterly unt Number: 115140-506611 Billing Date: 09/06/2017 Address: 823 PROGRESS AVE Billing Due Date: 09/27/2017 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Previous Balance... ..... ..... ...... ..... ...... . $125.21 Sales Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.21 Credits/Payments. ... ..... ... .. ...... ..... .... . -$125.21 Water Works Subtotal . . . . .. . . . . . . . . . . . . . . . . . . $33.71 Water Works Subtotal... ..... ...... . . . .. . . . ... . $33.71 City of Waterloo Services City of Waterloo Subtotal. . . .. . . .. $91.50 ..... ..... ... .. Sanitary Sewer. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . $42.75 Total Current Service Charges.. ...... .. ... ..... .. Storm Water Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $8.25 $125.21 Total Amount Due.. ... . .. . . .... ... ..... .... $125.21 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 Amount Due After 09/27/2017. ... ... ..... .. ... . . Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 $131.37 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 05/24/2017 08/24/2017 249 Actual 249 Actual 0 ,o LL 9 U U 5 u 4 a w 2 0 0 0 ,y0 �O ,�O ry0 ry0 ry0 ry0^ ry0^ ry0^ ------------——---—-__-- –-- P ease detach and return the bottom portion with your payment.See reverse side for additional information WATER WAccount Number: 115140-506611 WATLC3C3 ORKS t P.O.Box 27 Amount Due After: 131.37 Waterloo, Iowa 50704 =„� ;�_� Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St Ames, IA 50014 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 WAT€R 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 0 =erviocmeAddress: ams Kenneth Billing Frequency: Quarterly 140-506611 Billing Date: 12/06/2017 PROGRESS AVE Billing Due Date: 12/29/2017 Waterloo Water Works Services 11111 iii-mm- Water. . . . . . . . . . . . Previous Balance. . . ... I.. .. ... ... ..... ..... .... $125.21 . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Sales Tax. . . . . . . . . . . . . . . Credits/Payments..... . .. . . . ... . .. ..... ..... ... $125.21 $2.21 Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $33.71 Water Works Subtotal... . .. . . . .. .... ..... .. .... $33.71 City of Waterloo Services City of Waterloo Subtotal.... ...... . .. ... . . .. .. Sanitary Sewer. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . $42.75 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Current Service Charges. . ...... . . .... . . ... . $91.50 $8.25 $125.21 Total Amount Due. ... ... .. ..... .. .... . .. .. . . .. . Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 $125.21 Garbage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $31.50 Amount Due After 12/29/2017... ... . .. . . . .. . . .. . $131.37 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 08/24/2017 11/27/2017 249 Actual 250 Actual 1 is LL 9SPEC AOOS�� U U 6 m p m m 2 m 0 ry0 �O ,LO h0 ,y0 ry0 ,�O ry0� p, ti Please detach and return the bottom portion with your payment.See reverse _ --------- ---__ _.._ _ .side for additional information ' Account Number: 115140-506611 WATERLOO WATER WORKS ,+ P.O. Box 27 Amount Due After: 131.37 Waterloo, Iowa 50704 ��; !iF�iteC u��j." c ,�- ;• Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St Ames, IA 50014 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 WR S Phone: (319)232-6280 325 Sycamore Street www.waterloowater.org P.O. Box 27 Paee 1 of 1 Waterloo, Iowa 50704 STATEMENT OF SERVICES a ustomer Name: Williams Kenneth ccount Number: 115140-506611 Billing Frequency: Quarterly ervice Address: 823 PROGRESS AVE Billing Date: 03/07/2018 Billing Due Date: 03/28/2018 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance.... .... ..... ... $34.65 $125.21 Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Credits/Payments. . . ... ..... ...... ..... ..... ... Water Works Su btotal . . . . . . . . . . . . . . . . . . . . . . • • $2 43 $125.21 $37.08 Water Works Subtotal.... ..... ...... . . . .• , , , •.• , City of Waterloo Services $37.08 City of Waterloo Subtotal.. ..... .... .. . ..... ..... Sanitary Sewer. . . . . . . . . . . . . . . . . . . $91.50 . . . . . . . . . . . . $42.75 Storm Water Fee . . . . . . . . . .. . . . . . . . . . . . . . . . . . . Total Current Service Charges. . ... .... ..... ...... $8.25 Total Amount Due.. . ..... ... .. ...... .... $128.58 Yard Waste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $9.00 $128.58 Garbage. . . . . . . . . Amount Due After03/28/2018... . ...... .. ... .... $31.50 $134.89 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 11/27/2017 02/26/2018 250 Actual 250 Actual 1 F6, 2 Please detach and return the bottom Portion with your Payment.See reverse side for additional information WATERLC?Q / j7, AccountNumber 115140-506611 P.o.Box 27 Amount Due After: 134.89 Waterloo,Iowa 50704 ,.. p�,--�{ � 'iy� � ��€ Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St Ames,IA 50014 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- 325 Sycamore Street www.waterloowater., P.O. Box 27 Paee 1 of, Waterloo, Iowa 50704 STATEMENT OF SERVICES • L Name: Williams Kenneth umber: 115140-506611Billing Frequency: Quarterly dress: 823 PROGRESS AVE Billing Date: 06/08/2018 Billing Due Date: 06/29/2018 Waterloo Water Works Services Water. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Previous Balance..... .... ..... .. Sales Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $34.65 $128.58 $2.43 Credits/Payments.. ... ..... ..... .. ..... ..... ... Water Works Subtotal . . . . . . . . . . . . . . . . . . . . . . . . $128.58 $37.08 Water Works Subtotal City City of Waterloo Services $37.08 Sanitary Sealer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City of Waterloo Subtotal....... .... .. .... . .... $91.50 Storm Water Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $42 75 Total Current Service Charges..... ....... . .. $8.25 $128.58 Yard Waste. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TotalAmountDue. . .... ... ........ ... .. ..... .. Garbage. . . . . . . . . $9'00 Amount Due After 06/29/2018.. ...... ..... .... $128.58 $31.50 $134.89 City of Waterloo Subtotal . . . . . . . . . . . . . . . . . . . . . . $91.50 02/26/2018 05/29/2018 250 Actual 250 Actual 0 u O.B V20.6 m 04 M p 0.2 0 � 05 pry Please detach and return the bottom Portion with your payment.See reverse side for additional information WA,TE R L50 ATTAccount Number: 115140-506611 R �'�3RK5 �` �� .a- P.O. Box 27 Amount Due After 134.89 Waterloo,Iowa 50704 Phone:(319)232-6280 Amount Enclosed: Williams Kenneth 50073 150th St Ames,IA 50014 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 i l�