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Finance Committee
Approval Date 6/20/2022
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 Traffic Department to expend
$ $5,277.36 plus est. shipping costs of $150.00 to pay for or purchase
1 - 40 ft. black Millerbernd Street Light Pole with LED Fixture
This purchase or expenditure is being made because:
To replace pole and fixture damaged by vehicle hitting pole at Mullan & Mulberry
(Lead time on pole, etc. is 12-14 weeks - will be paid from FY23 budget)
Vendor selected for this purchase: Crescent Electric
n Bids or written quotes were taken on this purchase, as follows:
Crescent Electric Waterloo, IA
$5,277.36
Van Meter
Waterloo, IA $6,104.88
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
❑ Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
266-17-7120-1521
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 34,000.00
and the current available balance is $ 34,000.00
Respectfully submitted,
Sandie Greco 6/6/2021
ZOh
6/20/2022
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)