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HomeMy WebLinkAboutApproved Documents - 1/31/2022City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ 10,447.00 plus est. shipping costs of Central Garage $ 300.00 Department to expend to pay for or purchase Side wing plow, brackets and accessories for snow truck #191607 This purchase or expenditure is being made because: Replace worn out side wing plow, etc. (only supplied by truck vendor thru Sourcewell- Henderson) Vendor selected for this purchase: Henderson Products, Inc. n Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $10,447.00 n 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 IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-7955-1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sandie Greco 1/20/2022 wit $ 345,500.00 $ 48,440.29 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 Sewer Department to expend $ 3,999.00 plus est. shipping costs of $ 0 to pay for or purchase ESPB36 ECHO Snow Pusher with Pullback. This purchase or expenditure is being made because: WMSD is in need of a new snow pusher. Vendor selected for this purchase: ECHO Equipment O Bids or written quotes were taken on this purchase, as follows: Murphy Tractor and Equipment Co. - $14,800.00 Black Hawk Rental - $9,550.00 ECHO Equipment - $3,999.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund IT Road Use Tax n Sewer n Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200 2117 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 130,000.00 and the current available balance is $ 130,000.00 Respectfully submitted, Matt Hosford 01 /11/2022 /Tba , 7,Oe ✓ 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 Sewer Department to expend $ 73,939.20 plus est. shipping costs of $ 450.00 to pay for or purchase 128 Trojan UV disinfectant lamps. This purchase or expenditure is being made because: Current lamps are at the end of their life span and effectiveness. Vendor selected for this purchase: MC2 n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: MC2 is the sole provider for specific bulbs needed. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n Sanitation ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200 1522 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 71,755.00 and the current available balance is Respectfully submitted, Matthew Hosford 1/11/2022 Alit to 0 %Uei4,/, $ 74,389.20 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1 /31 /2022 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 Sewer Department to expend $ 32,727.00 plus est. shipping costs of $ 7,675.62 to pay for or purchase Repair of Satellite pump. This purchase or expenditure is being made because: Satellite pump is in need of repair. Vendor selected for this purchase: Electric Pump n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Electric Pump is sole provider for this repair service. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n 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 the budgeted amount is $ 400,000.00 and the current available balance is $ 160,493.50 Respectfully submitted, Brian Bowman 01 /11/2022 1 /31 /2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 Sewer Department to expend $ 8,839.00 plus est. shipping costs of $ 806.00 to pay for or purchase Repair of Lagoon pump #2 This purchase or expenditure is being made because: Lagoon pump #2 is in need of repair Vendor selected for this purchase: Electric Pump n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Electric Pump is sole provider for this repair service. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n 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 the budgeted amount is $ 400,000.00 and the current available balance is $ 120,090.88 Respectfully submitted, Matt Hosford 01/11/2022 tHu&ee 7A)4, 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ 7,804.24 plus est. shipping costs of $ to pay for or purchase Installation of three Axis P-3719 four Lens Camera Systems at Leisure Services Byrnes Park Headquarters. This purchase or expenditure is being made because: To deter vandalism and theft inside fenced in shop yard and assist with investigations when these instances occur. Vendor selected for this purchase: RC Systems, Waterloo Iowa n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: RC Systems is the current provider of the City's Traffic Camera system and they need to tie into the server and infrastructure already owned by the City. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ 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 $ 201,860.00 and the current available balance is $ 96,345.85 Respectfully submitted, Paul Huting 01/19/2022 illiaeffe 7,7,4 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 Sewer Department to expend $ 6,404.00 plus est. shipping costs of $ 0 to pay for or purchase installation of bearing kits on two blowers. This purchase or expenditure is being made because: Blowers are in need of new bearings. Vendor selected for this purchase: Gardner Denver n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Garnder Denver is sole provider of service needed. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax n Sewer n 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 the budgeted amount is $ 400,000.00 and the current available balance is $ 110,895.88 Respectfully submitted, Brian Bowman 01 /14/2022 wA4eL 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ 10,029.57 plus est. shipping costs of $ 300.00 to pay for or purchase Panel Assembly, G4 Pack and Panel WLD, G4 Pack for Refuse Truck #151512 This purchase or expenditure is being made because: These panels will replace the travel doors on the truck. (only supplied by truck vendor - Curbtender) Vendor selected for this purchase: Curbtender �■ Bids or written quotes were taken on this purchase, as follows: Curbtender Cedar Falls, IA $10,029.57 IT 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 IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-7955-1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 445,500.00 and the current available balance is Respectfully submitted, Sandie Greco 1/19/2022 $ 48,440.29 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ 4,149.13 plus est. shipping costs of $ 200.00 Heavy duty auger and bearings for Sno-Go Department to expend to pay for or purchase This purchase or expenditure is being made because: Auger damaged by a large piece of concrete going thru system while blowing snow (only supplied by Sno-Go vendor - MacQueen Equipmenmt) Vendor selected for this purchase: MacQueen �■ Bids or written quotes were taken on this purchase, as follows: MacQueen Equipment Ankeny, IA $4,149.13 IT 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 IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-7955-1571 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 445,500.00 and the current available balance is $ 38,110.72 Respectfully submitted, Sandie Greco 1/19/2022 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ 3,000.00 Leisure Services Department to expend plus est. shipping costs of $ to pay for or purchase services to develop solutions required to repair the corroded steel plank decking at Riverfront Stadium. This purchase or expenditure is being made because: the steel planking at Riverfront Stadium is in need of repair to continue to be a safe and enjoyable place to watch baseball. Vendor selected for this purchase: ISG Inc., Waterloo IA n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Bids are not required for engineering services per Iowa Code. City strategy 4.5 Quality of Place Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 419-37-4400-2170 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 40,000.00 and the current available balance is $ 35,041.61 Respectfully submitted, Paul Huting 1/19/2022 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ NTE 4,000 plus est. shipping costs of $ to pay for or purchase The printing of new golf scorecards. This purchase or expenditure is being made because: Scorecards are needed for customers to keep their score on. Vendor selected for this purchase: Professional Office Systems, Waterloo Iowa �■ Bids or written quotes were taken on this purchase, as follows: Professional Office Systems, Waterloo Iowa 108,000 cards. Woolverton Printing Company Cedar Falls, Iowa 45,000 cards, Strategic Imaging, Waterloo, Iowa 36,000 cards. Mittera Group, Urbandale, Iowa 18,000 cards. Each was asked how many cards for $4,000. n 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 IT Road Use Tax IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4120-1353 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 4,000.00 and the current available balance is $ 4,000.00 Respectfully submitted, Paul Huting 01/19/2022 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 1/31/2022 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 $ 3,043.48 plus est. shipping costs of $ 00 to pay for or purchase Carpet Square Flooring and Adhesive This purchase or expenditure is being made because: Floor covering to complete the new briefing/training room in the PD Vendor selected for this purchase: D & W Floor Covering n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: This is a previous vendor we have utilized and they carry the specific product needed to match other flooring in the police department. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund IT Road Use Tax IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 419-11-1100-2152 Police Dept. Improvements (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Matt McGeough, Police Captain 1/14/2022 $ 146,478.05 $ 137,857.62 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name City Contract No. Project Manager Project Budget Total Waterloo Youth City Council - Leighty Gift Carol Luce $ 5,000.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name CFDA # B. State Grant Yes No Grant Name C. City Match Source of Funding D. Other Entities Yes x No Name Donation from Leighty Fund at Comm Fdn 2. Attach copies of any grant agreements that will fund the project (REQUIRED) To be assigned by the Finance Dept. Project No. 01YCC Subproject No. GIFT Paid by federal grant Grant Agreement Number Paid by state grant Grant Agreement Number Paid by City Paid by other entity 3. Does the project include the purchase of right of way or other real property? If yes, will real property purchases be reimbursable under the grant? If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs C. Others, list 5. Does this project cover any regular full-time salaries or benefits? If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) Done None ❑ ❑x Yes No ❑ ❑x ❑ ❑x ❑ ❑x ❑ ❑x ❑ ❑x ❑ ❑x ❑ 0 These funds will be used to support the activities of the Waterloo Yough City Council. Page 2 must be attached and signed. K:\shared goodies\forms\Waterloo.31533.1.Proj_Bdgt_01 WYCC_Leighty_Gift_FYE22\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 1/31/2022 Project Name (from page one) Waterloo Youth City Council Department No. project will be budgeted under 01 Activity No. project will be budgeted under 8203 REVENUES: 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds 3905 TIF Revenue EXPENDITURES: To be assigned by the Finance Dept. Project No. 01YCC Subproject No. GIFT (Each column should only include amounts by fund) Fund: 010 Fund: Fund: Fund: Total 5,000.00 5,000.00 TOTALS $ 5,000.00 $ $ - $ $ 5,000.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 2140 Land Purchase 1358 Econ Dev Grant 1523 Program Supplies 2,500.00 2,500.00 2,500.00 2,500.00 TOTALS $ 5,000.00 $ - $ - $ $ 5,000.00 Michelle Weidner 1/7/2022 e.& zoo 1/31/2022 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Waterloo.31533.1.Proj_Bdgt_01 WYCC_Leighty_Gift_FYE22\Page 2 (Donat or NON-constr) (Mar 2010) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES ® NO If so, date approved: 1/31/2022 City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE FYE22 submitted by the Police Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 010 11 1150 3900 Seized Property 11TRI.WPDF 11,840.00 010 11 1150 1512 Forfeiture Distr 11TRI.WPDF 11,840.00 010 11 1150 3000 Cash 11TRI.WPDF 8,160.00 010 11 1150 1512 Forfeiture Distr 11TRI.WPDF 8,160.00 TOTAL $20,000.00 This amendment is being requested because: Request to use additional revenue received and carryover cash balance to pay additional expenses. TOTAL $20,000.00 Prior Committee Actions (Dates): Matt McGeough 1/27/2022 fi2ieeeek Zoe 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\shared goodies\forms\Police WPDF Forfeitures Budget Amenddment Request Form.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES ® NO 1/31/2022 If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2022 submitted by the Police Department Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 010 11 1160 3603 TRI CO FORF 11TRI.TRIF 21,883.64 010 11 1160 1512 TRI CO FORF 11TRI.TRIF 21,883.64 010 11 1160 3600 Cash on Hand 11TRI.TRIF 28,116.36 010 11 1160 1512 TRI CO FORF 11TRI.TRIF 28,116.36 TOTAL $50,000.00 TOTAL $50,000.00 This amendment is being requested because: This is to conform with the City's budget line item control policy. Using current & prior year's revenue to increase the FY22 expense line. Matt McGeough, Police Captain 1/21/2022 Prior Committee Actions (Dates): 1/31/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Waterloo.31746.1.Edited_Budget_Amendment_Tri_County_1-31-22 (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES ® NO _1/31 /2022 If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2022 submitted by the Police Department Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 010 11 1150 3873 Reimb for Services 11GRT.ODEF 7,500.00 010 11 1150 1114 Overtime 7,500.00 TOTAL $7,500.00 TOTAL $7,500.00 This amendment is being requested because: This is to conform with the City's budget line item control policy. See attached paper worked, continued funding for Southwest Express WC-IAN-0136 Y-32 for FY22. Prior Committee Actions (Dates): Matt McGeough, Police Captain 1/13/2022 illick7(e6w 1 /31 /2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Waterloo.31586.1.Budget_Amendment_ODEF_continued_funding_FY22_1-31-2022 (Apr 2003) Under File, Select "Save As" From the "Save In" drop down box, locate the directory you wish to save your file in. You may rename the file in the "File name:" box at the bottom of the screen. REMEMBER: the form itself is protected so you can only enter information in the yellow high -lighted cells. At the top of the form, go to the first cell requiring information. This is Cell El 1, directly after "FYE" Once you've completed the fiscal year you can press the "tab" key to go to the next cell requiring information to be entered. You may continue to press the "tab" key to move between the areas of the form that you must complete. Or, you can simply use your mouse and click on the individual yellow cells you wish to move to. The "TOTALS" will automatically be completed for you. Once all information is entered, save your file and print the form. Obtain the required signature and date and route the completed form to the Finance Department for their signature/approval. PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name City Contract No. Project Manager Project Budget Total Bird Mitigation Todd Derifield $ 20,000.00 1. How will this project be funded? A. Federal Grant Yes Grant Name B. State Grant Grant Name C. City Match No CFDA # Yes I 1 No Source of Funding D. Other Entities Yes Name No Black Hawk County 2. Attach copies of any grant agreements that will fund the project (REQUIRED) To be assigned by the Finance Dept. Project No. 37RST Subproject No. BIRD22 % Paid by federal grant Grant Agreement Number % Paid by state grant Grant Agreement Number % Paid by City % Paid by other entity 3. Does the project include the purchase of right of way or other real property? If yes, will real property purchases be reimbursable under the grant? If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs C. Others, list 5. Does this project cover any regular full-time salaries or benefits? If yes, employee/position to be covered. 6. Include a brief description of the project in the space below: (REQUIRED) 25.00% Done None ❑ ❑X Yes No ❑ ❑X ❑ ❑ ❑ ❑ ❑ ❑X ❑ ❑X Services from USDA wildlife services to mitigate crow issues in the urban properties designated by the City of Waterloo. This will reduce maintenance costs of cleaning crow dropping and reduce the chance of spreading salmonella, encephalitis and histroplasmosis to citizens from droppings. This plan is for one year of service starting January 2, 2022 Black Hawk County has agreed to donate $5,000 towards this project. Page 2 must be attached and signed. K:\shared goodies\forms\Waterloo.31745.1.Bird_Mitigation\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date 1/31/2022 Project Name (from page one) Bird Mitigation Department No. project will be budgeted under 37 Activity No. project will be budgeted under 4100 REVENUES: 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds 3111 Hotel Motel Discretionary EXPENDITURES: To be assigned by the Finance Dept. Project No. 37RST Subproject No. BIRD22 (Each column should only include amounts by fund) Fund: 010 Fund: Fund: 010 Fund: 010-22-8800-1390 010-37-4100 1390 Bldg Maint. $ 7,500.00 $ 7,500.00 010-37-4105 BH County Total $ 15,000.00 5,000.00 5,000.00 TOTALS $ 7,500.00 $ 7,500.00 $ 5,000.00 $ - $ 20,000.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 1567 Recreational Equip 7,500.00 7,500.00 5,000.00 20,000.00 TOTALS $ 7,500.00 $ 7,500.00 $ 5,000.00 $ - $ 20,000.00 Paul Huting 1/19/2022 1/31/2022 (Signature Dept. Head) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Waterloo.31745.1.Bird_Mitigation\Page 2 (Donat or NON-constr) (Mar 2010) Name: PUBLIC WORKS SANITATION DEPARTMENT REFUND REQUEST GARBAGE/YARD WASTE _� rc rYI.N Gas Address: 1 400 A k- " ' Date: Ea'� `� r City/State/Zip: pe,Att c 57301 Service Address: 433 wOoCreSt Phone: Refund Refund Amount Requested: $ 5 " 26 **Documentation Included: V Yes No ** All request for refunds required proof of Cartpaymeentr�before refunds are processed. Comments: inie. Vd reon0 Teri i V l O�G� bq.. *v Cart o ✓1 ot(agia-o. [a -at- 2I Signature/Sanitation Department Date Confirmed Refund Amount: $ 53.25 Confirmed w/Water Works: Yes No mead& miakei, 1 /31 /2022 Finance Signature Date Refund Amount Paid: $ 53.25 beAt4... 1,04.4e 4-621 Mi/ 91 3 3 114> bu es. Ad 0 Ctmn, 5 A4, 5.c._ i3 e-t tactor) 77,b,I/pe; 1(A-ec, 5frkc ktt/ 71-Nst Afae—Le-lira) -- c / "4, 6 tc c- let 13 /nolo (dtsca ki.440 7 rci stir t4 4r1/4:17 it°Z• vt cam_ -7— to-1,X 7Lz_ co. .17 Ln--0 9 �tiku� G kiht44. .27 t-t (Iota I . 1' OF WATERLOO. CITY CLERK'S OFFICE -: t .r • Y % rat 12 1 ij Dig L- at (A) _lams 33. zss tr-)/4 < Jan Myers 1400 13th Ave W Spencer, IA 51301-2959 1 dt 1509578 10723470.1 39-12914 1/1 WATERLOO WAT1R WORKS 325 Sycamore Street P.O. Box 27 Waterloo, IA 50704 STATEMENT OF SERVBCES Phone: (319) 232-6280 www.waterloowater.org Statement 1 of 1 P Customer Name: Account Number: Service Address: Janis M Myers 115274-506666 433 WOODCREST DR Billing Frequency: Billing Date: Billing Due Date: Quarterly 6/8/2021 6/29/2021 Waterloo Water Works Services Water 38,24 Water Service Excise Tax 2 30 Water Works Subtotal $40.54 City of Waterloo Services Sanitary Sewer Storm Water Fee ;Garbage - - - _ _ 'Ya a--Wastsc/-Rec y 6-1-e—S i t e City of Waterloo Subtotal 50.25 �t. 12J5 53,25 Ma ntenance_Fee-.- .--.-.--t5;-00--' $131 .25 1 r Previous Balance Credits/Payments Deposit Payment Balance Forward 171.79 171.79 CR 0 00 $0.00 Water Works Subtotal 40,54 City of Waterloo Subtotal 131.25 Total Current Service Charges 171.79 Total Amount Due $171.79 Amount Due After 06/29/2021 $180.26 i Actual 3/3/2021 6/1/2021 33 33 0 1 0.8 0.6 0.4 0.2 F 0' cn 0 Now Available Online 2020 Annual Drinking Water Quality Report http://iowaccr.org/waterloo-waterworks istissiiiagek