HomeMy WebLinkAbout05.16.2022 Supplemental AttachmentsFINANCE DEPT. STAFF ONLY
TRAVEL REQUEST
CITY OF WATERLOO
LINE ITEM USED
FY 22 BUDGETED
EXPENDED YTD 3612.51
520-14-5200-1346
8500.00
THIS REQUEST 1,487.00
LEFT AFTER THIS
REQUEST
DATE
3,400.49
05/03/22
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Brad Manahl-Operator Foreman
Andy Bedard -Operator
Nolan Rasmusson-Operator
DATE:
05/03/22
NAME OF CLASS / MEETING:
Iowa Water Environment Association 2022 Annual
Conference
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
Davenport, IA
DEPARTURE DATE:
06/07/22
RETURN DATE:
06/09/22
DATE(S) OF MEETING:
06/07-06/09/2022
PURPOSE OF TRAVEL/TRAINING:
Education
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$323.00 LODGING
$264.00 MEALS
$900.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 1,487.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM:
X GRANT REIMBURSABLE
YES NO
X
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 495.66
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Matt Hosford
DEPARTMENT HEAD
05/03/22
I APPROVE THIS TRAVEL REQUEST
Queft uz err
MAYOR
5/16/22
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 520-14-5200-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 22 BUDGETED 8,500.00
EXPENDED YTD 5099.51
THIS REQUEST 1487.00
LEFT AFTER THIS
REQUEST
115.60
DATE 05/03/22
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Jesse Gaherty-Plant Maintenance Foreman
Matt Schaefer -Plant Maintenance
Tyler Janssen -Plant Maintenance
DATE:
05/03/22
NAME OF CLASS / MEETING:
Iowa Water Environment Association 2022
Annual Conference
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
Davenport, Iowa
DEPARTURE DATE:
06/07/22
RETURN DATE:
06/09/22
DATE(S) OF MEETING:
06/07-06/09/2022
PURPOSE OF TRAVEL/TRAINING:
Education
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$323.00 LODGING TAXI
$264.00 MEALS PARKING
$900.00 REGISTRATION AIRFARE
MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 1,487.00
BUDGET LINE ITEM:
X GRANT REIMBURSABLE
YES NO
X
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 495.66
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Matt Hosford
DEPARTMENT HEAD
05/03/22
I APPROVE THIS TRAVEL REQUEST
Quet tz Ilrr-
DIGITALLY
SIGNED
MAYOR
5/16/22
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 23 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-12-1400 1346
$5,500.00
620.10
$2,589.00
$2,290.90
4-29-22
Copy - Department
NAME(S) AND POSITION(S):
Pat Treloar, Fire Chief
DATE:
April 29, 2022
NAME OF CLASS / MEETING:
International Association of Fire Chiefs (IAFC)-Fire
Rescue International Conference and Expo
DESTINATION: San Antonio, TX
DEPARTURE POINT ALO, CID, or DSM
IF NOT WATERLOO:
DEPARTURE DATE:
August 23, 2022
RETURN DATE:
August 27, 2022
DATE(S) OF MEETING:
August 24, 25, & 26th, 2022
PURPOSE OF TRAVEL/TRAINING:
To attend the IAFC's international conference and expo. Chief Treloar will attend classes in
Chief Officer Leadership II track. See attachment for further details.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM: ALO, CID, OR DSM depending on cost and schedule
ESTIMATE OF COST:
$960 (4nights) LODGING
$180
$699
MEALS
REGISTRATION
MILEAGE/FUEL
$50
$700
TOTAL FOR ALL: $ 2,589
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1400 1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 2,589 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Pat Treloar
I APPROVE THIS TRAVEL REQUEST
Qtterc-(uz 9-Uri
DEPARTMENT HEAD MAYOR
4-29-2022 5/16/2022
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
CITY OF WATERLOO, IOWA
CHANGE or EXTRA WORK ORDER NO. 3
PROJECT: FY 2021 Leversee Road Lift Station , CONTRACT NO. 983
Date Prepared: 4/28/2022
TO: Arends Excavating
AMOUNT: $ 13,827.36 Increase
, Contractor
You are hereby ordered to make the following changes from the plans and specifications or perform the
following extra work on your contract dated December 28, 2020.
A. Description of change to be made or extra work to be done:
2003 Installation of Wet Well Control Rack
B. Reason for ordering change or extra work:
2003 Add additional rack for NEMA 4X terminal boxes and explosion proof cord connectors so to not cut
cable or pipe to replace pumps/floats
C. Settlement for cost of work to be made as follows:
2003 Wet Well Control Rack Installation 1 Lump Sum x $12,570.33 + 10% Prime Markup = $13,827.36
CITY OF WATERLOO
Quen-an 9cr>`
BY:
Mayor
ATTEST:
Kerley Eelchle
SIGNED
Nir
City Clerk
SIGNED 5/16/22
NE
Total Net Increase $13,827.36
Are 'i .\ "ISO,
Date CONTRACTOR A- '
BY: %V I i G,�.t� �I,i
5/16/22
Date
PRINTED NAME: MIAro--1 C1 C
TITLE: 1144--t'v1 C V
5- 3 -zz
Date
APPROVED:
City Engineer Date