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HomeMy WebLinkAboutApproved Documents - 7/18/2022City Clerk Use Only Finance Committee Approval Date 7/18/2022 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 Airport Department to expend $ 22,000.00 plus est. shipping costs of $ 800.00 to pay for or purchase additional paint and beads for airfield. This purchase or expenditure is being made because: Letter of Correction from 2021 FAA Cert Inspection requires repainting of primary runway and corresponding taxiways. Public Works is assisting with painting work. Vendor selected for this purchase: Diamond Vogel n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Diamond Vogel has the state of Iowa contract for paint purchases. 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: 010-29-7700-1371 29A1P.0049 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 125,000.00 and the current available balance is $ 122,710.41 Respectfully submitted, Keith Kaspari 7/6/2022 X� T� IGNFP! 7/18/2022 (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 7/18/2022 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 Airport Department to expend $ 2,484.00 plus est. shipping costs of $ 975.00 to pay for or purchase (3) 3-yard rear load waste containers. This purchase or expenditure is being made because: Public Works has agreed to pick up Airport trash and recycle due to rising costs of this service through Republic Services. In order to do this, the Airport must purchase it's own containers. Vendor selected for this purchase: Wastequip n Bids or written quotes were taken on this purchase, as follows: Wastequip - $828/container + $975 shipping for all 3 (total $3,459.00) Hedstrom Env - $1,117/container + $465 shipping for one unit; (total $3,816+shipping for 2 add! containers) Nedland Ind - $1,165/container, no quote rec'd for shipping (total $3,495.00 + shipping) 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: 010-29-7700-1371 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 125,000.00 and the current available balance is $ 122,710.41 Respectfully submitted, Keith Kaspari 7/6/2022 Xtv., Tala 7/18/2022 (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 7/18/2022 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 $ 10,500.00 Building Maintenance Department to expend plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: Pool Chemicals FY 2023 - Byrnes and Gates Pools Vendor selected for this purchase: ACCO n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: ACCO is our current vendor for pool chemicals 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: 010-22-8800-1513 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 15,500.00 and the current available balance is $ 15,500.00 Respectfully submitted, Greg Ahlhelm - Building Official 6/23/2022 JCS T 7/18/2022 (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 7/18/2022 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 $ 10,892.00 plus est. shipping costs of $ 0.00 Ammonia compressor heads cooling line conversion Department to expend to pay for or purchase This purchase or expenditure is being made because: changing how the the compressor heads are cooled from water to glycol makes the ice system more efficient & will save approximately (3) million gallons of water annually. Vendor selected for this purchase: All Temp Refrigeration, Cedar Rapids Iowa n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: All Temp Refrigeration is the only certified Vilter ammonia compressor ice service business in the area . They have the proper equipment & maintenance records for the Young Arena Ice System dating back to construction in 1994, and provide timely emergency response calls when 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 IT Sewer n Sanitation . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 322-37-4500-2152 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 90,000.00 and the current available balance is $ 90,000.00 Respectfully submitted, Paul Huting (TD) 06/29/2022 KS 7/18/2022 (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 7/18/2022 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 $ 7,310.00 plus est. shipping costs of $ 0.00 to pay for or purchase Young Arena ammonia ice system annual preventative maintenance on (2) vilter ammonia compressors & evaporative condenser tower. This purchase or expenditure is being made because: this maintenance is performed to address any needed repairs due to worn parts or safety issues with ammonia ice system. supports the city's strategic plan 4.5 "maintain city facilities that support quality of place" Vendor selected for this purchase: All Temp Refrigeration, Cedar Rapids Iowa n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: All Temp Refrigeration is the only certified Vilter ammonia compressor ice service business in the area . They have the proper equipment & maintenance records for the Young Arena Ice System dating back to construction in 1994, and provide timely emergency response calls when 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 IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4500-1388 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 18,000.00 and the current available balance is $ 18,000.00 Respectfully submitted, Paul Huting 06/28/2022 Taltib 7/18/2022 (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 7/18/2022 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 $ 12,000.00 plus est. shipping costs of $ to pay for or purchase Rental of portion of maintenance building space at 304 W 5th Street. This will pay for the period of July 2022 through June 2023. This purchase or expenditure is being made because: to store the equipment and maintenance operations for the downtown area maintenance crew. Vendor selected for this purchase: JSA Development LLC. n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Facilities available for this purpose are limited in the downtown area. 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: 010-37-4110 1390 (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, Paul Huting 07/06/2022 JCL Taia 7/18/2022 (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 7/18/2022 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 $ 6,025.12 plus est. shipping costs of T-ball & A -ball hats Leisure Services Department to expend $ to pay for or purchase This purchase or expenditure is being made because: Summer session of Tee Ball & A Ball Program Vendor selected for this purchase: BSN n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Bids were taken when ordering Optimist uniforms. BSN won that hat bid. BSN Sports $6,025.12 Dick's/A.D. Starr (NA NOT IN STOCK) 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: 010-37-4200-1566 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 32,000.00 and the current available balance is $ 32,000.00 Respectfully submitted, Paul Huting 07/06/2022 KtI4v W 7/18/2022 (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 7/18/2022 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 $ 4,778.08 plus est. shipping costs of Leisure Services $ 0.00 Department to expend to pay for or purchase Replacement and installation of (11) ammonia safety relief valves for the arena ice system. This purchase or expenditure is being made because: These valves are required for the safe operation of the ice plant & need to be replaced due to age. supports the city's strategic plan 4.5 "maintain city facilities that support quality of place" Vendor selected for this purchase: All Temp Refrigeration, Cedar Rapids Iowa n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: All Temp Refrigeration is the only certified Vilter ammonia compressor ice service business in the area . They have the proper equipment & maintenance records for the Young Arena Ice System dating back to construction in 1994, and provide timely emergency response calls when 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 IT Sewer n Sanitation ElBonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 421-37-4500-2152 $4,278.05 /010-37-4500-1388 $500.00 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 / 18,000.00 and the current available balance is $ 28,389.34 / 18,000.00 Respectfully submitted, Paul Huting 06/28/2022 Xtm, /YUL 7/18/2022 (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 7/18/2022 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 $ 12,275.00 plus est. shipping costs of $ 0.00 to pay for or purchase (1) REACO 80v / 510 amp Industrial Battery for Young Arena's Electric Zamboni. This purchase or expenditure is being made because: The current battery is our oldest battery system, has two bad cells and is not sustaining a charge. supports the city's strategic plan 4.5 "maintain city facilities that support quality of place" Vendor selected for this purchase: Hawk Performance Specialties, Woodville, WI �■ Bids or written quotes were taken on this purchase, as follows: Hawk Performance Specialties, Woodville WI --- $12,275.00 R & R Specialties of Wisconsin, Somerset WI --- $ 12,697.30 MH Equipment, Waterloo Iowa --- $13,494.86 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 . Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 421-37-4500-2152 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 50,000.00 and the current available balance is Respectfully submitted, Paul Huting 06/28/2022 JCS, ga $ 28,035.34 NE 7/18/2022 (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 7/18/2022 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 $ 5,272.50 plus est. shipping costs of Mayor $0 of City of Waterloo portion of Livability Magazine gatefold ad. Department to expend to pay for or purchase This purchase or expenditure is being made because: We purchased an ad through Grow Cedar Valley in Livability Magazine. Vendor selected for this purchase: 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 local magazine. 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: 010-03-8970-1353 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 46,000.00 and the current available balance is $ 46,000.00 Respectfully submitted, Wendy Bowman 6-28-22 SIGNED SIGr smKFn 7/18/2022 (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 7/18/2022 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 Mayor's Office Department to expend $ 5,269.00 plus est. shipping costs of $ 0 to pay for or purchase Fiscal Year Membership to the United States Conference of Mayors FY2023. This purchase or expenditure is being made because: membership is a valuable resource for the City of Waterloo. Vendor selected for this purchase: United States Conference of Mayors n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: It is a membership. 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: 010-01-8200-1391 (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, Quentin Hart 7/1/22 1C 7/18/2022 (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 7/18/2022 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 $ 4,406.87 plus est. shipping costs of FY21 Metro Coalition dues. Mayor Department to expend $ 0 to pay for or purchase This purchase or expenditure is being made because: The Metro Coalition represents the largest cities in Iowa at the state legislature and provides a voice for the large urban areas. Vendor selected for this purchase: n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: N/A - dues are based on population at 6 cents per capita. 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: 010-01-8200-1391 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 13,000.00 and the current available balance is $ 7,731.00 Respectfully submitted, Quentin Hart 6-28-22 7/18/2022 (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 7/18/2022 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 Police $ 22,509.72 plus est. shipping costs of $ 0 Benchmark Analytics software annual subscription fee. Department to expend to pay for or purchase This purchase or expenditure is being made because: This software is includes tracking for use of force, internal affairs, training, officer profiles, performance evaluations, and a First Sign early intervention system. Vendor selected for this purchase: Benchmark Analytics n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Benchmark Analytics is proprietary to this type of software package that has five modules for Police Department employee tracking. 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: 010-11-1105-1520 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 110,355.00 and the current available balance is $ 110,355.00 Respectfully submitted, Aaron P. McClelland, Police Captain 7/1/22 jam, gaZa 7/18/2022 (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 7/18/2022 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 $ 15,719.35 plus est. shipping costs of $ 0.00 Department to expend to pay for or purchase five (5) Panasonic Toughbook computers for the Police Department patrol vehicles. This purchase or expenditure is being made because: Five computers will replace computers that are older and the end of the life cycle. This are mobile computers used by the patrol division in marked squad cars. Vendor selected for this purchase: CDWG $15,719.35 n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: CDWG has the State of Iowa bid for Panasonic Toughbook computers. 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: 420-11-1100-2106/421-11-1100-2106 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 70,000.00/80,000.00 and the current available balance is $ 14,816.56/80,000.00 Respectfully submitted, Aaron McClelland, Police Captain 7/1/22 jam gala 7/18/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 7/18/2022 The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police Department to expend $ 24,898.00 plus est. shipping costs of $ 0.00 to pay for or purchase 24 - Monitoring Cameras and hardware. 4,000 ft. of outdoor rated Cat6 Commonscopt Cable This purchase or expenditure is being made because: Replacing defective monitoring cameras at signalized intersections on Hwy 63 from Conger St. to Donald St. Vendor selected for this purchase: ■ Baker Group Bids or written quotes were taken on this purchase, as follows: Baker Group Ankeny, Iowa $24,898.00 RCSystems Waterloo, Iowa $32,045.04 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: nGeneral Fund Bonds • nRoad Use Tax n Sewer n Sanitation Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 322-11-1100-2106 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is $ 125,000.00 $ 149,898.00 Respectfully submitted, DIGITALLY G�LI/l SIGNED 7/13/2022 � 7/18/2022 ( ignature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:Ishared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 7/18/2022 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 Sanitation Department to expend $ 74,208.00 plus est. shipping costs of $ 6,762.00 to pay for or purchase 312 - 95 gallon green carts; 312 - 95 gallon brown carts; 704 - 65 gallon green carts - all include RFID tags This purchase or expenditure is being made because: To replace damaged carts and for delivery of additional needed carts. Vendor selected for this purchase: Schafer Systems International, Inc. n Bids or written quotes were taken on this purchase, as follows: Schafer Systems International, Inc. Charlotte, NC $74,208.00 TOTER Statesville, NC $76,492.00 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 ❑ Bonds ❑ Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 525-15-5400-1596 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Sandie Greco 6/29/2022 Jti Wala $ 120,000.00 $ 120,000.00 7/18/2022 (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 7/18/2022 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 SEWER $ 4,829.12 plus est. shipping costs of $ 0.00 A 4-TON HVAC UNIT Department to expend to pay for or purchase This purchase or expenditure is being made because: UNIT IN HEADWORKS OFFICE BUILDING NOT WORKING Vendor selected for this purchase: HEATING & COOLING SUPPLY CO n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: SOLE PROVIDER 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 1371 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, JESSE GAHERTY 07/07/2022 JCS T)a $ 30,000.00 $ 30,000.00 7/18/2022 (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 7/18/2022 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 $ 4,524.90 plus est. shipping costs of $ 0.00 A Repair kit for Douglas Lift Station Department to expend to pay for or purchase This purchase or expenditure is being made because: Repair is needed for Douglas Lift Station to Operate Vendor selected for this purchase: Quality Pump & Control n Bids or written quotes were taken on this purchase, as follows: IT Bids or quotes were not taken on this purchase because: Sole Provider 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 and the current available balance is Respectfully submitted, Brian Bowman 06/29/2022 Jti Wala $ 400,000.00 $ 399,325.29 SIGN' 7/18/2022 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)