HomeMy WebLinkAboutApproved Documents - 11/13/2018 City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Airport Department to expend
$ 2,000.00 plus est. shipping costs of $ to pay for or purchase
urea for use on runways in icy winter weather.
This purchase or expenditure is being made because:
urea is approved by FAA for use on runways to melt ice.
Vendor selected for this purchase: Dunkerton Co-op
❑ Bids or written quotes were taken on this purchase, as follows:
QX Bids or quotes were not taken on this purchase because:
Dunkerton Co-op is the only vendor who sells urea by the bag.
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 EI Sewer F] Sanitation
❑ Bonds FJ Federal/other grants F—] Other(specify)
This expenditure is to be coded to the following budget line-item:
010-29-7700-1371
(Fund - Department-Activity -Account Number) (Project Code)
in which the budgeted amount is $ 114,005.00 ✓
a d e current available balance is $ 7.pi;95�JT2 7S, mi Y>
Re pe tfu fitted,
(Sign ture Dd IV
dor Designee) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\Dunkerton Co-op Urea.xls(Mar 2010)
City Clerk Use Only
Finance Committee
I\'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 Central Garage Department to expend
$ 24,685.65 plus est. shipping costs of $ 1,300.00 to pay for or purchase
100 - 5' X 8"; 100 - 6' X 8", 20 4' X 8" Cutting Edges and 50 - TX 8" Curved Grader
Blades
This purchase or expenditure is being made because:
Cutting edges and grader blades to be used for plowing snow throughout the winter
months.
Vendor selected for this purchase: Altorfer Cat
OX Bids or written quotes were taken on this purchase, as follows:
Altorfer Cat Cedar Falls, IA $24,685.65
Tristate Truck Equipment Dubuque, IA $35,145.76
Henderson Products Manchester, IA NO BID
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
FX General Fund F—I Road Use Tax ❑ Sewer F—] Sanitation
FBonds ❑ Federal/other grants FX Other(specify)
This expenditure is to be coded to the following budget line-item:
010-18-79x6-1571
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 240,000.00 ✓
and the current available balance is $ A04; &T A /5U (pa 3 sL ✓
Respectfully submitted,
(Signature Dept. HeA0 or Designee) Date (Signaturb Finance Dept. Review) Date
K:\shared good ies\forms\2018-November-Pre-Auth-Altorfer-Garage-Cutting Edges&Grader Blades-$24,685.65+$1,300 SH-010-18-7950-
1571.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
3
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Engineering Department to expend
$ 6,500.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Repair of street light pole at the corne of Lafayette Ave and Mullan. Price includs anew
pole, T-Base, and fixture.
This purchase or expenditure is being made because:
This pole was hit by a semi on September 10th - see attached Police Report. Police
Department has investigated, but unable to Identify/find vehicle/driver.
Vendor selected for this purchase: K&W Electric
0 Bids or written quotes were taken on this purchase, as follows:
A quote was taken from K&W Electric, the electrical subcontractor for the Highway
63 Reconstruction Project, who installed this street light. They are the most
qualified to do this repair work.
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
EI General Fund EI Road Use Tax El Sewer F-I Sanitation
F] Bonds EI Federal/other grants F-] Other(specify)
This expenditure is to be coded to the following budget line-item:
411
A46-07-7520-2165 N/A
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 59949*-90 1{0,000
and the current available balance is $ -59666 60 ( �,�2 Y?.
Respectfully sub gitte ,
A • 1-19
( gnature ept.-Head or Designee) /Dote (Signature Finance Dept. Review) Date
shared goodies\forms\Street Light Expenditure Pre-Authorization.xlsx(Mar 2010)
INVESTIGATING OFFICER'S REPORT Sheet 1 of 3
Form 4433003(11-13) OF MOTOR VEHICLE ACCIDENT Law Enforcement Case Numbers:
MAIL REPORTS TO:Iowa Department of Transportation,Once of Driver Services,P.O.Box 9204,Des Moines,Iowa 50306-9204 W18-073338
Dale of Accident Time of Accident County Accident occurred within corporate limits of(city)
0911012016 14:11 Hrs. BLACK HAWK-07 WATERLOO-8155
Driver's Name-Last First Middle
U UNKNOWN
N Address city State Zip
I
T Date of Birth Drivers License Number CDLCitation Charge 1 Citation Charge 2
1 Male Female State Class Endorsements Restrictions Yes No Citation Charge 3 Citation Charge 4
oa
Alcohol Test Given: Test Results: Drug Test Given: Test Result: Re-exam: Yes No Reason for Re-Exam Request:
1 1 i
Owner's Name-Last First Middle
UNKNOWN
Address City State Zip
License Plate No. State Year VIN: Calor Year Make Model Style
Trailer Plate No. State Year VIN: Tow Tow# Towed To Apprm.Coat to Repair or Replace
1 $0.00
Insurance Company Name Insurance Co.Phone Number Insurance Policy Number
Initial Travel Direction Veh.Act. Veh.Contig. Cargo Body Type Veh.Defect Point of Initial Impact Most Damaged Area Extent of Damage Total Occ.in Veh.
01 03 13 02 99 99 99 2 1
Special Veh.Func Emergency Status Bus Use Driver Condition Vision Obscured Contributing Circumstances Driver(up to two) Driver Distractions Speed Limit
01 01 99 99 16 99 35
Traffic Controls Horizontal Alignment Vertical Alignment SEQUENCE First Event Second Event Third Event Fourth Event Most Harmful Event
02 01 01 OF EVENTS 97 157 72 1 72
Carrier Name/Lessee
C
O Street Address City State Zip Code
M
M Number of Axles Gross Vehicle Weight Rating US DOT Number MC Number Underride/Override
E 1-NONE
R Haz Mat Involvement Haz Mat Placard Placard Number Haz.Mat Release tl Haz Mal Class Haz Mat Name
C
I Trailer Plate: State Year VIN
A 'o
L g
Trailer Plate: State Year VIN ° Q o re A
c m r
Converter Dolly Dolly Plate: State Plate Year VIN m �, a o a
d ii a v d o
o a w w
Phone Number: 9 98 03 1 01 1 01 01
P DRIVER OF UNIT 1 Transported to: Transported by:
E
R Name Phone Number DOB:
S
N Address Transported to: Transported by
I
S N Name Phone Number DOB:
N N Address Transported to: Transported by
U T Name Phone Number DOB:
R
E 1 Address Transported to: Transported by.
D
Name Phone Number DOB:
Address Transported to: Transported by:
r '
INVESTIGATING OFFICER'S REPORT OF Sheet 2 of 3
Form 4433003(11-13) MOTOR VEHICLE ACCIDENT Law Enforcement Case Numbers:
MAIL REPORTS TO:Iowa Department of Transportation,Office of Driver Services,P.O.Box 9204,Des Moines,Iowa 50306-9204 WIB-073338
Date of Accident Time of Accident County Accident occurred within corporate limits Of(city) Legal Private
L 09/1012018 14:11 Hrs. BLACK HAWK-07 WATERLOO-8155 Intervention? ❑ Property? ❑
O Literal Description County: Route:
C US 631E MULLAN AVE AND LAFAYETTE ST 07
A If accident occurred outside of N NE E BE S SW W NW X Coordinate:
T city limits show general vicinityOOQOO of nearest city 554203.812
1 On Road,Street or Highway: At Intersection with: Y Coordinate:
O 4705781
N Note:Unless accident occurred at an intersection which is completely described above,use the space below to give the exact
location from a milepost or definable intersection,bridge,or railroad crossing,using two distances and directions if neccessaryof If Divided Highway,Provide Route
NNE E SE S SW W NW N NE E BE S SW W NW (Cardinal)Travel Direction
00000000 and00000000 NB t 0
SIB
(EBS WB
Milepost Definable intersection, O �✓ 0
Number Or bridge,or railroad crossing
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS -
Location of First Harmful Event 01 Weather Conditions(up to two) Major Contributing Circumstances Environment 01 $
c-
m S m
Manner of Crash/Collision 01 01 Roadway 01 E E ; r 5
0
Light Conditions 1 Surface Conditions 01 Type of Roadway JunclionlFeature 12 F .2 o m
i E U m m
m
FRA No. a oo - w a ~
First Harmful Event(Crash) WORKZONE Yes No Activity Location Type Workers Present 'x z ;� o a v z a
97 RELATED?
Z J Q U VJ U Vl lJ
Name 001 Phone Number DOB:
N
Address: Alcohol Test Given Test Results: Drug Test Given Result Charged Yes No
NM
0 Transported to: Transported by:
O Name Phone Number DOB:
R
IAddress: Alcohol Test Given Test Results: Drug Test Given Result Charged Yes No
T Transported to: Transported by:
N P If Property other than JObject Damaged Estimate of Damage
R vehicles damaged explain ISTREET LIGHT POLE $1,000.00
N O Owner's Last Name First Name Middle Name Phone Number
P CITY OF WATERLOO (319)291-4340
E E Address City State Zip Code Was owner or tenant notified?
H R 715 MULBERRY ST WATERLOO IA 50703 1=Yes 2=No 9=Unknown 1
1 T If Property other than Object Damaged Estimate of Damage
C Y vehicles damaged explain
U Owner's Last Name First Name Middle Name Phone Number
LD
M Address City State Zip Code Was owner or tenant notified?
RGI 1 1=Yes 2=No 9=Unknown
Last Name First Name Address city State Zip Code Phone Number
W FRENCHER ALBERT 303 E MULLAN AVE WATERLOO IA 50703 (319)961-0896
1 Last Name First Name Address City State Zip Code Phone Number
T
N Last Name First Name Address City Slate Zip Code Phone Number
E
S Last Name First Name Address City State Zip Code Phone Number
S
Last Name First Name Address City State Zip Code Phone Number
Is This/a`�Secondary Crash? Type of Primary incident Roadway Clearance Date Incident Clearance Date
Y 0 N * 09/1012018 09/1012018
Signature of Officer Badge Number Time Officer Notified of Accident Roadway Clearance Time Incident Clearance Time
LOWERY PHILLIP L3652 14:12 Hrs_ 15:00 Hrs. 15:00 Hrs.
Name of Agency Date of Report Time Officer Arrived At Scene Total Roadway Clearance Time Total Incident Clearance Time
WATERLOO POLICE DEPARTMENT 0911012018 14:21 Hrs. 000:48 000:48
Report Reviewed By Date of Review Invest- ation made at scene? T.I.No. Other Technical Investigating Agency
MCGEOUGH,MATTHEW 09/11/2016 Y N
INVESTIGATING OFFICER'S REPORT Sheet 3 of 3
Form 4433003(11-13) OF MOTOR VEHICLE ACCIDENT Law Enforcement Case Numbers:
MAIL REPORTS TO:Iowa Department of Transportation,Office of Ddver Services,P.O.Box 9204,Des Moines,Iowa 50308-9204 W18-073338
D
I N
A
G
R
A
M
44
a
Light Pale
HWY 63 N/E.Mullan
Lafayette Ave
On Monday 9110118 at approximately 14:12 1 was dispatched to a 10-57 that occurred at the intersection of Lafayette and E.Mullan Ave. Dispatch advised a Semi
tractor and trailer hit a street light pole knocking it down causing the street lights to not work as well. Dispatch advised it was a 1NhiVOrg semi with Dohren on the
N trailer.
A
R I arrived on scene and saw the light police partially in the street and the street lights not working. Upon further investigation I observed tire tracks on the sidewalk
R leading to the light pole. It appears the semi was heading west on Lafayette and attempted to tum right onto northbound 63. The semi was not able to take the tum
wide enough and the trailer went up on the sidewalk and struck the pole.
A
T Officer Crozier was able to locate a similar semi at Logan and Donald but there was no damage to the tractor or the trailer that would conclusively link the semi to the
I accident so I have cased this as a 10-57. Lab arrived on scene and photographed the damages due to my body camera going dead at approximately 2 pm.
V Case in active until further leads develop.
E
City Clerk Use Only
Finance Committee /
Approval Date 1 (3
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 2,500.00 plus est. shipping costs of $ na to pay for or purchase
professional 3D renderings of potential swimming pool and splash pad lay outs for
outdoor aquatic facilities.
This purchase or expenditure is being made because:
we are in the early stages of planning for replacement of our outdoor pools. These
graphics would assist in informing the public what these changes could like.
Vendor selected for this purchase: Waters Edge Aqautic Design (Lenexa, KS)
Bids or written quotes were taken on this purchase, as follows:
Qx Bids or quotes were not taken on this purchase because:
Waters Edge has been our consultant for this project since we began.
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
Fx General Fund ❑ Road use Tax ❑ Sewer F-] Sanitation
❑ Bonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-37-4200-1390 Other Contractual Services
(Fund - Department-Activity-Account Number) (Project Code)
m
q00
in which the budgeted amount is $ 3,500.00
and the current available balance is $ �9t1/°iter amendmentS
Respectfully submitted./'
Lam.. �' � - 1- �- l �L;,,•�,�.�- /,�I1:�,�ir� l�-Z-GS
(Signature Dept.1H06
or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\waters edge preauth.xis(Mar 2010)
City Clerk Use Only
Finance Committee
1
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
of& di $ 125.00/HR plus est. shipping costs of $ to pay for or purchase
a Std0a Snow/Ice removal on newly constructed sidewalks and crosswalks in the Kimball Ave.
corridor.
This purchase or expenditure is being made because:
In-house crews can no longer keep up with the expanding list of properties and locations
needing to be cleared throughout the City.
Vendor selected for this purchase: Professional Lawn Care
❑X Bids or written quotes were taken on this purchase, as follows:
Professional Lawn Care $125.00/Hr including salt application.
B&B Lawn Care did not return a bid.
Matthias Landscaping Co. did not return a bid.
❑ Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
NX General Fund ❑ Road Use Tax El Sewer ❑ Sanitation
EI Bonds 1:1 Federal/other grants F—I Other(specify)
This expenditure is to be coded to the following budget line-item:
010-37-4100-1390
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 167,175.00
and the current available balance is $ 83,239.66 ✓
Respectful) submitted,
"_ ( ignature Dept. He� esignee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth Kimball Ave Snow Removal 2019.xis(Mar 2010)
City Clerk Use Only
Finance Committee
t
l
Approval Date i 3
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
$ 200.50 plus est. shipping costs of $ to pay for or purchase
Meals for Residents Academeny participants 10/17 and 10/24
This purchase or expenditure is being made because:
Vendor selected for this purchase: Laughing Tree Cafe
❑ Bids or written quotes were taken on this purchase, as follows:
Fx Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
Fx General Fund ❑ Road Use Tax EI Sewer ❑ Sanitation
❑ Bonds 1:1 Federal/other grants 0 Other(specify)
This expenditure is to be coded to the following budget line-item:
010-01-8280-1335
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 1,000.00
and the current available balance is $ 1,000.00
Respectfully submitted,
'(SI nature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:shared good ies\forms\Expend itu re Pre-Authorization(Mar 2010)
WENDY BOWMAN
From: Laughing Tree <invoicing@messaging.squareup.com>
Sent: Thursday, October 25, 2018 1:13 PM
To: WENDY BOWMAN
Subject: New Invoice:#062963 from Laughing Tree
x
Laughing Tree
New Invoice
$200.50 due on October 25, 2018
Pay Invoice
Invoice#062963
October 25, 2018 133 S
Customer
Wendy Bowman J „
wendy.bowman@waterloo-ia.org
No tax applied. Tax exempt.
Outside the Box Lunch x 7 ($9.00 ea.) $63.00
Sandwich, Sun Chips and a Chocolate Chip Cookie
Choice of Ham & Swiss, Chicken Salad or Veggie
Panini
Outside the Box Lunch x 6 ($9.00 ea.) $54.00
Sandwich, Sun Chips and a Chocolate Chip Cookie
1
Choice of Ham & Swiss, Chicken Salad or Veggie
Panini
Manicotti x 7 ($14.00 ea.) $98.00
Each dinner comes with a salad and dinner roll and
butter. Disposable table service is included. Flatware
available upon request for an additional charge. Cheese
stuffed pasta with homemade marinara or Th colored
cheese Tortellini with vodka sauce.
Per Person
Pulled Pork Enchiladas $10.00
Served in a flour tortilla, includes Spanish rice and
homemade Pico de Gallo. Slow cooked pork with a
homemade enchilada sauce, topped with cheese and
served with lettuce, sour cream and Pico de Gallo
sauce.
Enchiladas Per Person
Wholesale 25% (25%) -$24.50
Subtotal $200.50
Total Due $200.50
Laughing Tree
225 Commercial St.
Waterloo, [A 50701 United States
eliz.guyer@gmail.com
319-610-7105
0 2018 Square, Inc.
Square Privacy Policy I Security
FI
2
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Mayor Department to expend
$ 1,000.00 plus est. shipping costs of $ to pay for or purchase
advertising in John Deere booklet
This purchase or expenditure is being made because:
Vendor selected for this purchase: Waterloo Courier
❑ Bids or written quotes were taken on this purchase, as follows:
❑x Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
Fx General Fund ❑ Road Use Tax EI Sewer F—I Sanitation
❑ Bonds ❑ Federal/other grants F_� Other(specify)
This expenditure is to be coded to the following budget line-item:
010-01-8280-1351
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ _ '�y,z d
and the current available balance is
Re pectfully submitted,
7/f l + r 4, , 1") // h
(signature Dept. H74 or Designee) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\Expenditure Pre-Authorization(Mar 2010)
Courier Communications
PO Box 540
Waterloo,11150704
13191291-1400
Memo Billing
Account No. 60008651
City of Waterloo
October 17, 2018
Date Ad # Description NetAmount
05/27/2018 136241-1 Online JD repurpose ad messenger 16,250 13 709.07
05/28/2018 136241-1 Online JD repurpose ad messenger 16,250 1 58.43
06/10/2018 136241-1 Courier John Deere Repurpose
6.000 x 10.170 1 232.50
Total: $1000.00
�*
S5 I
city clerK use unly
Finance Committee
Approval Date �L 3
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 Planning Department to expend
$ 1,400.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Plats of Survey (5 parcels); 3200 Blk of Airline Hwy
This purchase or expenditure is being made because:
Platting of land for development
Vendor selected for this purchase: Helland Engineering
❑ Bids or written quotes were taken on this purchase, as follows:
® Bids or quotes were not taken on this purchase because:
Professional services are not required for platting;
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑ General Fund F� Road use Tax ❑ Sewer ❑ Sanitation
Bonds El Federal/other grants I ^r_XOther(specify) MidPort TIF
This expenditure is to be coded to the following budget line-item:
426-08-6260 2104
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ �(e(10,000 r v
and the current availabl 'gala s $ 1,S5y05 3
Respectf s e
(Signature Dept. Head or Designee) Date (Sign8ture Finance Dept. Review) Date
KAshared good ies\forms\Expe nditure Pre-Authorization.xls(Mar 2010)
HES
Helland Engineering and Surveying, LTD.
1107 Technology Parkway — Cedar Falls, Iowa 50613
Phone 319-266-0161
hellandsurveying@cfu.net
November 5, 2018
Noel Anderson
Community Planning &Development Director
City of Waterloo
715 Mulberry Street
Waterloo, Iowa 50703
Re: Parcel "E" parcel split&ROW Vacate Plats 3200 Blk. of Airline Highway, Waterloo, Iowa
Dear Noel:
Per our conversation, I estimate to complete and supply the City of Waterloo with Plats of
Survey(5 parcels in total) for a fee not to exceed $1,250.00, for all items listed below:
1. 1 parcel split of the Westerly 217'+/- of existing Parcel "E", SE 1/4, Section 5-T89N-
RA W, designated with a new Parcel letter approved by the County Auditor's office.
2. 2 parcels(66'+/- in width N-S)to vacate along Airline Highway(Airport Commission
ROW) along the Southerly boundary of existing Parcel"E",
3. 2 parcels(33'+/- in width N-S)to vacate along Airline Highway(From State to City of
Waterloo ROW) along the Southerly boundary of existing Parcel "E".
Timeframe for completion would be within 10 days. This does not include any recording fees
for said Plats of Survey. I estimate recording fees to be $35.00-$56.00.
If you have any questions, please feel free to contact me. Thank you for the opportunity to
submit this proposal.
Sincerely, 7Z,�-JC®�
1Cyle J. Helland, PLS
City Clerk Use Only
Finance Committee
,l
Approval Date f 3
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
$ 1,950.00 plus est. shipping costs of $ 50.00 to pay for or purchase
surviellence equipment for the Investigative Division and Task Force
This purchase or expenditure is being made because:
this purchase will allow us to replace older outdated equipment
Vendor selected for this purchase: CovertTrack Group
Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
Covert Track Group is the vendor the Waterloo Police Department uses for this
type of equipment and is an extension to our existing systems
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
General Fund Road Use Tax EI Sewer EI Sanitation
Bonds Federal/other grants F-] Other(specify)
This expenditure is to be coded to the following budget line-item:
010-11-1160-1555 / 010-11-1160-1512 11TRITRIF
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ /oUo L 16 12,(11 N
and the current available balance is $ /Up p /(o ?has f'
Respectfully mitted,
(Signature Dept. He esignee) t Dae (Signature Finance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xlsx(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date (I/I 3
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
$ 7,190.00 plus est. shipping costs of $ 0.00 to pay for or purchase
purchase 10 (Ten) docking stations for in car computers
This purchase or expenditure is being made because:
to replace older worn out docking stations that have out lived their life expectancy and
to conform with newer computers
Vendor selected for this purchase: CDW-G
❑ Bids or written quotes were taken on this purchase, as follows:
Q Bids or quotes were not taken on this purchase because:
CDW-G is the vendor who has the state of Iowa bid for this type of 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
FX Bonds EI Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
417-11-1100-2106
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 100)C Db .010 C
and the current available balance is $ j GO)000 O(7 E 6_1
Respectfully s mitted,
(Signature Dept. ead Designee) ate (Signature Rinance Dept. Review) Date
KAshared goodies\forms\Expenditure Pre-Authorization.xlsx(Mar 2010)