HomeMy WebLinkAboutApproved Documents - 7/17/2023TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 24 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
283-13-5452 1560
$500.00
$0.00
$500.00
$0.00
06/29/23
Copy - Department
NAME(S) AND POSITION(S):
Julie Dawson, Housing Authority Director
DATE:07/17/2023
NAME OF CLASS / MEETING:
Ridgeway Towers Resident Meetings
DESTINATION: Held at Ridgeway Towers
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
RETURN DATE:
DATE(S) OF MEETING:
TBA FYE2024
(7/1/23 thru 6/30/24)
PURPOSE OF TRAVEL/TRAINING:
Per HUD Regulations, we must hold resident meeting for input 3-4 times/year and refreshments (food, cups, plates,
napkins, etc.) for such are an allowable expense in our Public Housing Operating Budget approved by the Housing
Authority Board on 05/15/2023. The requested amount is for FYE2024 (July 1 2023 through June 30, 2024). Meetings have
not been held since 2020 due to the pandemic, but plan to resume quarterly meetings in August of 2023.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
N/A CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
$ 500.00 MEALS
REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 500.00
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 283-13-5452 1560
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 500.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Julie Dawson
Date Approved by Finance Committee:
No.(
DEPARTMENT HEAD DATE
07/17/2023
DATE
K: \Shared Goodies\Forms\Travel Request Form
7/17/2023
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-03-8400 1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 24 BUDGETED $10,000.00
EXPENDED YTD $0.00
THIS REQUEST $630.00
LEFT AFTER THIS
REQUEST $9,370.00
DATE 07/05/2023
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Bridgett Wood, Finance Director
Kim Bahr, Financial Analyst
DATE:
07/05/2023
NAME OF CLASS / MEETING:
Budget Process 101
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
Webinar
DEPARTURE DATE:
9/12/2023
RETURN DATE:
09/14/2023
DATE(S) OF MEETING:
9/12-14/23
PURPOSE OF TRAVEL/TRAINING:
The course will cover all aspects of the budget process, including establishing a vision and
priorities, engaging with the public, developing the annual budget, maintaining relationships,
and monitoring the budget throughout the year.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM: e-learning
ESTIMATE OF COST:
LODGING TAXI
MEALS PARKING
$630.00 REGISTRATION AIRFARE
MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 630.00
BUDGET LINE ITEM: 010-03-8400 1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 315.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Bridgett Wood
DEPARTMENT HEAD
07/05/2023
I APPROVE THIS TRAVEL REQUEST
z° 7U 4
itAVAXX
7/17/2023
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 2024 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-12-1410 1346
$6,000
$o
$1, 389.84
$4,610.16
06/28/2023
Copy - Department
NAME(S) AND POSITION(S):
Jason Hernandez, Medical Supervisor
Medical Officer
Melissa Tobin, EMS Administrative Assistant
DATE: June 28, 2023
NAME OF CLASS / MEETING:
Regional EMS Billing and Documentation
Conference
DESTINATION:
West Des Moines
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
08/15/2023
RETURN DATE:
08/16/2023
DATE(S) OF MEETING:
08/15/2023 - 08/16/2023
PURPOSE OF TRAVEL/TRAINING:
This conference delivers updated information on Medicare reimbursement and compliance as well
as documentation best practices to strengthen reimbursement rates.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$429.84 LODGING
$135 MEALS
$825 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 1,389.84
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 010-12-1410 1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 463.28
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Jason Hernandez
DEPARTMENT HEAD
07/05/2023
DATE
K: \Shared Goodies\Forms\Travel Request Form
Date Approved by Finance Committee:
7/17/2023
DATE
�� BIILIN
MSA
EMS
Iowa Emergency Medical Services Association
NAAC
Neitir►.51 AC ItatriW
ct ri.--m_JJMr,cc=ndrrr9
DAY 1+2 --CEs
approved by the NAAC
indicated in GREEN Text
in the Outline.
CAC's can count on:
• 4.0 CEU Recertification
Units (CAC mandatory)
and 8.0 CEU
Recertification Units
(CAC elective recent)
are available for those
.attending both Days
of the EMS Billing
and Documentation
Conference.
CACO + CAPO
Certifications will receive
12 CE Units each.
REGISTRATION
FEES:
Includes Tuition,
Lunch on Day 1 & Break
Beverage + Snacks
Day-1 Only - NAAC CAC
$200/pp
1/2-Day-2 Only
-NAAC CAC
$75/pp
Special Two -Day Rate
Registration for
BOTH DAYS of
NACC Education
$250/pp
Click Here to
Log -in
Register Now!
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OR Complete the
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page and return by fax or mail
to IEMSA.
OFFERING
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CAC RECERT
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AT IEMSA.NET!
IEMSA 19TH ANNUAL Ems
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1311.108
ICUMENTATISN CONFERENCE
AUGUST 15 + 16, 2023 OILTON 5 SOUTH 4TH RDS GARDEN IN wWEST
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We're excited to bring Doug Wolfberg back to Iowa --IEMSA will reach out to EMS Services across the
midwest to join us in Des Moines for this popular and much needed educational event.
Elite Sponsor:
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> Hospitality Suite: On Tuesday Night, August 15, 2023
from 7-9pm. IEMSA will host a night of networking, finger food,
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Members, in the Private Bar Area of the Hilton Garden Inn Event Center.
SPEAKER: Doug Wolfberg is a founding member of Page, Wolfberg
& Wirth (PWW), and one of the best known EMS attorneys and
consultants in the United States. Widely regarded as the nation's leading
EMS law firm, PWW represents private, public and non-profit EMS
organizations, as well as billing software manufacturers and others that
serve the nation's ambulance industry. IEMSA reserves the right to provide
a substitute presenter if necessary
SPECIAL TWO-DAY Registration Discounted Fee : $250/pp to register for both Day 1&2 NAAC CAC Education.
Day-1
Full Day : NAAC --EMS Billing & Documentation Conference
Tuesday, August 15, 2023 1 8:OOam-5:OOpm - Day 1 Lunch Included - $200/pp
4.0 Mandatory + 3.0 Elective CAC Recertification CEs Units
• Medicare and Reimbursement Update - 2.0 Units Mandatory/Elective CAC, 2.0 Units for CACO + CAPO
• Compliance Update & Privacy Update - 2.0 Un'ts Mandatory/Elective CAC, 2.0 Units CACO + CAPO
• Malpractice or Murder? When Does EMS Negligence Become Criminal? - 1.0 Elective CAC, 1.0 Unit CACO + CAPO
• Documentation in Court: What Billers, Providers and Managers Can Learn From Real Legal Cases
- 10 Elective CAC, 1.0 Unit CACO + CAPO
• Leadership Lessons From the "Aughts"- 1.0 Elective CAC, + 1.0 Unit CACO+CAPO
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1/2-Day Morning --Additional 4.0 NAAC Elective CAC Recertification Units
Wednesday, August 16, 2023 18:OOam-1:15pm - $75/pp -- Day 2 Lunch is on Your Own
5.0 Elective CAC Recertification CE Hours (ALL AM Day 2 = 1.0 Elective CAC; + 1.0 Unit CACO + CAPCO for each session)
• Are You Hosed When the Patient Has a Lawyer? Getting Your Money When Attorneys are Involved
• The Top Five Allegations in False Claims Act Cases and How to Combat Them
• You're In Collections: How to Legally Capture the Money You're Owed
• The Names Not Read: a New Perspective on Wellness and Resiliency for EMS Professionals
• Conference Q&A: Ask a Lawyer All Your Billing, Coding, Compliance and Privacy Questions
1/2-Day Afternoon --GEMT Workshop- "GEMT - Show Me the Money!"
Wednesday, August 16 , 2023 1 2pm-5:30pm - $10/pp (You can Opt to Register for this 1/2 Day ONLY.)
--Presented by PCG Consultants : Experts in GEMT + IEMSA Corporate Member/Affiliate Benefit Partner
• GEMT—Federal Funds You Might be Eligible for -- attend this important workshop to learn:
- Medicaid Supplemental Payment Program
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- Medicare Ground Ambulance Data Collection (MGADC)
- Purpose & Overview
- Timeline and Next Steps
- Emergency Triage, Treat, and Transport (ET3) Model Overview
REGISTRATION FORM AND HILTON GARDEN INN- WEST DES MOINES ROOM BLOCK INFORMATION --->
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HOTEL Et REG STRAT ON INFO
HILTON GARDEN INN W. DES MOINES
Discounted Room Rates
• 205 S. 64TH ST. • W. DES MOINES
at the Hilton Garden Inn West Des Moines
JUST $129++ Double/Single --Limited Rooms
Call (515) 223-0571 by July 26, 2023 to reserve a room. Rooms reserved after
July 26, 2023 will be based on avarlabilirty/descretifon of the manager. Ask for the Iowa EMS Block Rate.
TO REGISTER ONLINE: CLICK HERE http://iemsa.net/memberaccount.htm- Click the 'Login Here" button. You will be prompted
to log -in to your IEMSA Account to register--Usernames are set to the email address on file and use the reset password Zink, if you forgot your password.
or contact the IEMSA Office at 515-225-8079 or administration@iemsa.net.
Don't have an IEMSA Account? Click Here to create an account.
Once Logged -in --go to the "Online Store" tab at the top of your screen, click on the "Regional EMS Billing & Documentation Conference" icon/link,
complete the registration form, add to your cart, process payment and you're registered. You will receive a receipt and confirmation immediately by email.
The payment options include* credit/debit card or select "Mail my Check". Registrations are not complete until payment is received, and must be paid
prior to the conference. Mail Checks to: IEMSA, 5550 Wild Rose Lane #400, West Des Moines, IA 50266. No Refunds AI-1 ER July 23, 2023, Cancella-
tbons PRIOR to the July 23, 2023 are subject to a $50 cancellation fee.
TO REGISTER BY MAIL or FAX: Complete this form and return with your check to• IEMSA, 5550 Wild Rose Lane #400, West Des Moines, IA 50266 -- or
FAX with Credit Card Info this form to. 877-478-0926 You will receive a confirmation email once your payment is received and/or processed. If you do not
receive an email --please contact the office ASAP to confirm your registration was received.
Elite Sponsor:
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Credit Card or FAX/EMAIL Registrations for 2023 REGIONAL EMS BILLING & DOCUMENTATION CONFERENCE
r
Attendee Name
Address
City
State Zip
Email Address (mandatory): IA EMS Certification # (if applicable)
Organization/Service :
Select ONE:
O $200/pp -- Day 1- Tuesday 8/15/2023 Only -- 8.0 Hours (4.0 Mandatory/Elective AM Hours + 4.0 Elective CAC CEs)
0 $75/pp -- (%-day) Day 2 - Wednesday 8/16/2023 Morning Only - 4.0 Hours Elective CAC CEs
O $250/pp -- Special Rate for Both Day's NAAC Education 12.0 hours (8.0 Elective + 4.0 Mandatory CAC CEs)
0 $10/pp -- ADD -ON 1 Day - Wednesday, 8/16/2023 Afternoon--"GEMT Workshop"
$
(You can Opt to Register for this 1/2 Day ONLY.)
Amount Due Total Due
Payment Method: 0 MasterCard 0 Visa 0 Check (must recieve check no later than day of the Conference)
Credit Card Number Exp Date
Name on Card 3-Digit Security Code on Back of Card
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-27-2505-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 24 BUDGETED $15,700.00
EXPENDED YTD
THIS REQUEST $4,973.40
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Abraham L Funchess Jr., Executive Director
Rebecca Johnson, Human Rights Specialist
Nancy Culpepper, Human Rights Administrative Secretary
DATE: 7/6/2023
NAME OF CLASS / MEETING: DESTINATION: Ba
ltimore, Maryland
EEOC'S 2023 FEPA-TERO training conference
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
July 24, 2023 July 28, 2023 July 25 - July 27, 2023
PURPOSE OF TRAVEL/TRAINING:
To attend the annual EEOC/FEPA conference. This training is required per the contract.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Waterloo, IA
ESTIMATE OF COST:
BUDGET LINE ITEM: 010-27-2505-1346
1287.80 LODGING 175.00 TAXI X GRANT REIMBURSABLE
1050.00 MEALS 0 PARKING YES NO
0 REGISTRATION 2460.60 AIRFARE X REQUIRED CERTIFICATION
0 MILEAGE/FUEL 0 MISC/TOLLS YES NO
TOTAL FOR ALL: $ 4,973.40
TOTAL: $ 1,657.80 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Date Approved by Finance Committee:
Abraham L. Funchess Jr M; X( 7/17/2023
DEPARTMENT HEAD
DATE
K: \Shared Goodies\Forms\Travel Request Form
DATE
'Nt Ji�"_ `Z, 0uc sisseo
City Clerk Use Only
Finance Committee
Approval Date 7/17/2023
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
$ 3,950.00 plus est. shipping costs of $ N/A to pay for or purchase
Spot CIPP repair of sanitary sewer on Leversee Road
This purchase or expenditure is being made because:
A leak has developed in a sanitary sewer line that is 23 feet deep and the the best way to
repair the leak is to do a CIPP spot repair
Vendor selected for this purchase:
CIT Sewer Solutions
▪ Bids or written quotes were taken on this purchase, as follows:
CIT Sewer Solutions: $4,137.28
Municipal Pipe Tool: $3,950.00
IT Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
N/A
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) TIF
This expenditure is to be coded to the following budget line -item:
426-08-6260-2163 08MPTIF.LEVLIFT
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Jamie Knutson 07/11/2023 (w Zu
$ 1,400,000
$ 1,400,000
7/17/2023
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
�I
SEWER
SOLUTIONS
CIPP Point Repair
City of Waterloo
will hereafter be referred to as "Customer"
CIT Sewer Solutions will hereafter be referred to as "CIT"
DESCRIPTION OF WORK: The work to be done under this contract includes all labor, materials, and
equipment to install one 12" x 4' CIPP Point Repair unless specified otherwise in this contract.
PRICING:
Description
Quantity
Rate Total
12" x 4' CIPP Point Repair— Lump Sum
1 $4,137.28 $4,137.28
Total - $4,137.28
IDLE TIME: $300/hour - Time exceeding 20 min for water fill, debris disposal, customer representative
authorizations or other factors not related to CIT's responsibilities while performing agreed job scope
will be considered Idle Time and shall be charged at a prorated rate once that limit is exceeded.
CHANGE ORDER: Request for any additional work not included in the provisions of these specifications
will be negotiated between Customer and CIT via change order. Must be signed and dated by all
parties before additional work can begin.
PAYMENT: Payment will be made at the unit prices listed above. Customer will pay CIT in full for all
completed work within 30 days of invoice date.
PLANS: Customer will provide maps or prints of sewer lines to be cleaned and inspected. The lines that
are scheduled for inclusion in the project will be clearly marked/highlighted. Customer will provide
reference numbers for all manholes. CIT will use the cities reference numbers on the written and video
reports.
SCHEDULING AND EXECUTION OF WORK: Customer will give CIT a notice to proceed after all contracts
have been executed and all necessary forms or insurance certificates have been collected by either CIT
or the customer. Customer and CIT will establish a schedule that identifies a project itinerary that is
mutually beneficial to both parties within the performance period.
WORK AND MATERIAL PROVIDED BY CUSTOMER:
Customer will provide the following at no cost to CIT:
1) Community awareness that sewer maintenance is scheduled with CIT
2) Instruction for CIT on how to respond to residents that approach CIT during the project
3) Inform CIT of history of sewers with known sewer system failures
4) Legal and physical access to manholes on portion of sewer included in the project
5) Exposure of buried manholes and seized manhole lids loosened prior to CIT mobilization
6) Any excavation, opening, back filling and/or repair of sewers and/or streets required to remove
CIT's equipment caught in the sewer pipe due to sewer defects
7) A person to act as liaison between Customer and CIT for the duration of the project that will also
be able to familiarize CIT with locations of sewers and manholes
8) Water for cleaning sewer and access to nearest fire hydrants
9) A secure storage area to accommodate CIT equipment, vehicles, and materials
10) A location near work site where debris removed from sewer cleaning can be deposited
11) Disposal of debris removed from sewer cleaning process
12) Traffic control needed in addition to CIT's arrow boards and cones
WORK AND MATERIALS PROVIDED BY CIT:
CIPP Point Repair:
1) Comply with ASTM F1216 and Sudas 2020 Section 4050— Pipe Rehabilitation
Sewer Inspection:
1) CIT will provide Pre and Post Video for CIPP repair work
2) Video inspections will be performed by a NASSCO certified PACP operator
3) CIT will perform closed circuit video inspections of the sewer using current state of the art
technology and trained employees
4) CCTV camera will be high -resolution color with adjustable iris focus
5) CCTV camera will have pan and tilt capabilities that allow up close and right-angled inspections
of defects and other significant observations
6) Video camera will be equipped with 1,000' of video cable
7) Video camera, television monitor and other components of the video system will produce a
high -quality video image
8) Footage distance measured by the video system will be accurate within 1% and will be used to
determine footages for reporting and billing purposes. The center line between manholes will
be the reference points used to determine footage measurements
Sewer inspection reporting:
1) Video inspection and reporting software will be NASSCO approved software
2) All observations will be chosen from a standard table of descriptions incorporated in the video
reporting software
3) CIT will make a color recording on a flash drive of all sewers inspected and will provide a
corresponding paper report generated by the video inspection software. The video recording
will include on -screen observation identifications that label continues footages, defects, pipe
diameter, direction of flow, direction of viewing, manhole and street reference locations.
Video inspections recorded on a flash drive allow indexing of video files for faster viewing by
Customer.
INSURANCE:
CIT will maintain General Liability and Auto Liability Insurance throughout the duration of the contract
with limits not less than $1,000,000 General Liability, $1,000,000 Auto and $500,000 Workers
Compensation Employers Liability. Proof of Insurance in the form of an insurance certificate will be
issued to the Customer prior to the start of the project.
ADDITIONAL COMMENTS/RQUESTS/ADDENDUMS BETWEEN CUSTOMER AND CIT:
Customer Scheduling Coordinator
Name and address of the person reports should be sent to:
Name and address or email invoices should go to:
Preferred Invoice Method: Emailed Mailed
Agreement dated this the
day of , 20
Phone Number
Customer Authorized Signature CIT Representative Signature
Executed contracts may be sent with the CIT Project Manager, emailed or mailed to:
libby@citsewer.com
CIT Sewer Solutions
PO Box 203
McCallsburg, IA 50154
JAMIE KNUTSON
From: JAMIE KNUTSON
Sent: Friday, June 9, 2023 10:11 AM
To: Jesse Gaherty
Cc: MATT SCHINDEL
Subject: FW: Leversee Road Sewer
Here is the other quote. Let us know what you think.
Thank You.
Jamie Knutson, P.E.
City Engineer
715 Mulberry St.
Office 319-291-4312
CITY OF
t9att WATERLOO
Engineering
From: Kyle Armbrecht <KyleA@munipipe.com>
Sent: Tuesday, April 18, 2023 4:53 PM
To: JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-IA.ORG>; MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-
IA.ORG>
Subject: Re: Leversee Road Sewer
CAUTION: This email originated from outside the City of Waterloo email system. Do not click links or open unexpected attachments
unless you recognize the sender and know the content is safe.
Jamie,
The cost would be $3950 when the crew is in the area.
Kyle Armbrecht
Production Manager
Municipal Pipe Tool Company, LLC
kyle@munipipe.com
Mobile: 319-239-0983
From: JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-IA.ORG>
Sent: Tuesday, April 18, 2023 1:15:21 PM
To: Kyle Armbrecht <KyleA@munipipe.com>; MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>
Subject: RE: Leversee Road Sewer
1
EXTERNAL EMAIL: CAUTION: This email originated from outside of the organization. Do not click links or
open attachments unless you recognize the sender and know the content is safe.
Kyle,
What would the cost be if the city wanted you to come in and do the CIPPP repair?
Thank You.
Jamie Knutson, P.E.
City Engineer
715 Mulberry St.
Office 319-291-4312
CITY OF
19IAWATERLOO
Engineering
From: Kyle Armbrecht <KyleA@munipipe.com>
Sent: Monday, April 17, 2023 2:19 PM
To: MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>; JAMIE KNUTSON <JAMIE.KNUTSON@WATERL00-
IA.ORG>
Subject: RE: Leversee Road Sewer
CAUTION: This email originated from outside the City of Waterloo email system. Do not click links or open unexpected attachments
unless you recognize the sender and know the content is safe.
Matt and Jamie,
After reviewing the video, I would say a CIPP point repair would be the best option for the repair. I have attached a little
more information on the CIPP point repair method.
Let me know if you have any questions.
Thanks,
Kyle Armbrecht
Production Manager
Municipal Pipe Tool Company, LLC
kyle@_munipipe.com
Mobile: 319-239-0983
From: MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>
Sent: Thursday, April 13, 2023 1:54 PM
To: Kyle Armbrecht <KyleA@munipipe.com>; JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-IA.ORG>
Subject: RE: Leversee Road Sewer
EXTERNAL EMAIL: CAUTION: This email originated from outside of the organization. Do not click links or open
attachments unless you recognize the sender and know the content is safe.
2
It is about 60-70 feet from the downstream MH.
Thanks,
Matt Schindel
Associate Engineer
715 Mulberry St.
Office 319-291-4312
CITY OF
kt IS WATERLOO
._. EngineEring
DISCLAIMER
The information contained in this communication from the sender is confidential. It is intended solely for use by the
recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure,
copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be
unlawful.
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS ADDRESS MAY BE SUBJECT
TO PUBLIC DISCLOSURE.
From: Kyle Armbrecht <KyleA@munipipe.com>
Sent: Thursday, April 13, 2023 1:52 PM
To: MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>; JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-
IA.ORG>
Subject: RE: Leversee Road Sewer
CAUTION: This email originated from outside the City of Waterloo email system. Do not click links or open unexpected attachments
unless you recognize the sender and know the content is safe.
Great, also what is the footage of the leaking joint to the closet manhole.
Thanks,
Kyle Armbrecht
Production Manager
Municipal Pipe Tool Company, LLC
kyle@munipipe.com
Mobile: 319-239-0983
From: MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>
Sent: Thursday, April 13, 2023 1:46 PM
To: Kyle Armbrecht <KyleA@munipipe.com>; JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-IA.ORG>
Subject: RE: Leversee Road Sewer
3
EXTERNAL EMAIL: CAUTION: This email originated from outside of the organization. Do not click links or open
attachments unless you recognize the sender and know the content is safe.
The joint length, assuming a 12" pipe, would be 3.14 feet. And yes access to both upstream and downstream manholes
are available.
Thanks,
Matt Schindel
Associate Engineer
715 Mulberry St.
Office 319-291-4312
CITY OF
Li WATERLOO
gineEring
DISCLAIMER
The information contained in this communication from the sender is confidential. It is intended solely for use by the
recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure,
copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be
unlawful.
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS ADDRESS MAY BE SUBJECT
TO PUBLIC DISCLOSURE.
From: Kyle Armbrecht <KyleA@munipipe.com>
Sent: Thursday, April 13, 2023 1:44 PM
To: JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-IA.ORG>; MATT SCHINDEL <MATT.SCHINDEL@WATERL00-
IA.ORG>
Subject: RE: Leversee Road Sewer
CAUTION: This email originated from outside the City of Waterloo email system. Do not click links or open unexpected attachments
unless you recognize the sender and know the content is safe.
Jamie,
Do you happen to know the footage of the joint? Also are we able to get to both top and bottom manholes?
Thanks,
Kyle Armbrecht
Production Manager
Municipal Pipe Tool Company, LLC
kyle@munipipe.com
Mobile: 319-239-0983
From: JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-IA.ORG>
Sent: Thursday, April 13, 2023 1:13 PM
4
To: Kyle Armbrecht <KyleA@munipipe.com>; MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>
Subject: FW: Leversee Road Sewer
You don't often get email from jamie.knutson@a,waterloo-ia.org. Learn why this is important
EXTERNAL EMAIL: CAUTION: This email originated from outside of the organization. Do not click links or open
attachments unless you recognize the sender and know the content is safe.
Kyle,
Great to talk with you this morning about the possibility of grouting a joint in a deep sewer. The sewer is 12" truss
pipe. Take a look at the video and let me know what you think might be a good repair option.
Look forward to hearing from you.
Thank You.
Jamie Knutson, P.E.
City Engineer
715 Mulberry St.
Office 319-291-4312
CITY OF
jo WATERLOO
Engineering
From: Jesse Gaherty <Jesse.Gaherty@WATERLOO-IA.ORG>
Sent: Wednesday, April 12, 2023 2:00 PM
To: MATT SCHINDEL <MATT.SCHINDEL@WATERLOO-IA.ORG>; JAMIE KNUTSON <JAMIE.KNUTSON@WATERLOO-
IA.ORG>
Cc: BRIAN BOWMAN <BRIAN.BOWMAN@WATERLOO-IA.ORG>; RANDY BENNETT <RANDY.BENNETT@WATERLOO-
IA.ORG>
Subject: Leversee Road Sewer
All - the video is what we found in the line at Leversee Rd. The leak is in the portion of line just north of the lift station
Thanks Jesse
Jesse Gaherty
Collections System/Project Director
City of Waterloo WM5
3505 Easton Ave
Waterloo IA 50702
P: 319-291-4553
C:319-215-8525
CITV OF
' WAT ER LOO
Waste Management
5
DISCLAIMER
The information contained in this communication from the sender is confidential. It is intended solely for use by
the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any
disclosure, copying, distribution or taking action in relation of the contents of this information is strictly
prohibited and may be unlawful.
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS
ADDRESS MAY BE SUBJECT TO PUBLIC DISCLOSURE.
DISCLAIMER
The information contained in this communication from the sender is confidential. It is intended solely for use by
the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any
disclosure, copying, distribution or taking action in relation of the contents of this information is strictly
prohibited and may be unlawful.
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS
ADDRESS MAY BE SUBJECT TO PUBLIC DISCLOSURE.
DISCLAIMER
The information contained in this communication from the sender is confidential. It is intended solely for use by
the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any
disclosure, copying, distribution or taking action in relation of the contents of this information is strictly
prohibited and may be unlawful.
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS
ADDRESS MAY BE SUBJECT TO PUBLIC DISCLOSURE.
DISCLAIMER
The information contained in this communication from the sender is confidential. It is intended solely for use by
the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any
disclosure, copying, distribution or taking action in relation of the contents of this information is strictly
prohibited and may be unlawful.
PURSUANT TO IOWA CODE CHAPTER 22 E-MAIL COMMUNICATION TO AND FROM THIS
ADDRESS MAY BE SUBJECT TO PUBLIC DISCLOSURE.
6
City Clerk Use Only
Finance Committee
Approval Date 7/17/2023
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 month of July 2022 through June 2023. FY 2023 Budget.
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
Respectfully submitted,
Paul Huting 07/06/2022
$ 13,000.00
Tz4ett Noad 7/17/2023
(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 7/17/2023
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
$ 5,269.00 plus est. shipping costs of $ 0.00 to pay for or purchase
The Mayor's United States Conference of Mayors annual Membership dues
This purchase or expenditure is being made because:
annual Membership dues
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 an annual membership dues
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 $ 16,000.00
and the current available balance is $ 10,701.00
Respectfully submitted,
Quentin Hart
6/26/2023
Zo'°
7/17/2023
(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 7/17/2023
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 MIS
$ 2,760.00 plus est. shipping costs of $ 0.00
Office 365 G3 GCC-Yearly Term Licensing (10 Users)
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
This is for 10 licenses of Office 365 Goverment G3 Community Cloud Software. We will be
be migrating all users eventually to Office 365 but want to select a group of 10 first.
Vendor selected for this purchase:
Davenport Group
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Davenport Group has been working with us to roll out Office 365 already and is familiar
with the layout.
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:
010-01-8220 1520
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 103,416.00
and the current available balance is $ 103,416.00
Respectfully submitted,
Chris Youngblut 07/05/2023 'Wret Z004,( 7/17/2023
(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 7/17/2023
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
$ 4,135.00 plus est. shipping costs of $ 0
Waterloo Police Department Crime Lab Accreditation Audit.
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
This expenditure is for the final stages of the Waterloo Police Accreditation Audit.
Vendor selected for this purchase: Quality Auditing
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Quality Auditing is a nationally recognized auditing service used soley for
Accreditation.
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
Bonds
Sanitation
Federal/other grants ❑ Other (specify) Coverdell Forensic Grant 21
This expenditure is to be coded to the following budget line -item:
010-11-1150-1391 11GGT.FRNSC21
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ $25,000.00
and the current available balance is $ $8,228.51
Respectfully submitted,
Aaron P. McClelland, Police Captain 6/28/23 T ZOO7/17/2023
(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 7/17/2023
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
$ 23,410.10 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, 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 $ 223,000.00
and the current available balance is $ 223,000.00
Respectfully submitted,
Aaron P. McClelland, Police Captain 7/6/23
�t 7Ooo4( 7/17/2023
(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 7/17/2023
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 (Sampler) Department to expend
$ 7,967.00 plus est. shipping costs of $ 150.00 to pay for or purchase
Sampler
This purchase or expenditure is being made because:
Needed for Satellite Treatment improvements
Vendor selected for this purchase:
Hach
n Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
Hach is only supplier
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund ❑ Road Use Tax n Sewer n Sanitation
0 Bonds ❑ Federal/other grants 0 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 $ 399,946.73
Respectfully submitted,
Brian Bowman
7/6/23
eSNoad
7/17/2023
(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 7/17/2023
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 (VFDs) Department to expend
$ 10,375.28 plus est. shipping costs of $ N/A to pay for or purchase
4 VFDs for RAS Pump Controll
This purchase or expenditure is being made because:
Needed for Satellite Treatment improvements
Vendor selected for this purchase:
Electric Pump
n Bids or written quotes were taken on this purchase, as follows:
Electric Pump - $10,375.28
Electrical Engineering & Equipment Co (3E) - $14,825.00
-Electric Pump & 3E are the only providers of the VFDs needed-
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 ❑ Road Use Tax n Sewer n Sanitation
O Bonds ❑ Federal/other grants 0 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 $ 399,946.73
Respectfully submitted,
Brian Bowman
7/6/23 t 7/17/2023
(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 7/17/2023
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
$ 34,000.00 plus est. shipping costs of $ 1,000.00 to pay for or purchase
1,000 - 12 inch red tinted traffic signal lights.
This purchase or expenditure is being made because:
Current traffic signal lights are failing.
Vendor selected for this purchase:
�■ Bids or written quotes were taken on this purchase, as follows:
Traffic Control Corp Ankeny, IA $34,000
General Traffic Controls
Spencer, IA $34,500
Mobotrex
Davenport, IA $36,000
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
. Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
421-17-7161-2125 / 266-17-7120-1522
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 22,000.00/ 14,000.00
and the current available balance is $ 22,000.00/ 14,000.00
Respectfully submitted,
Sheila Steffen 07/05/2023 q?,yett
NOC4
7/17/2023
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
108
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Approved by Finance
Committee 7/17/2023
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WATERLOO WA WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
ACCOUNT SUM
IARY'
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
08/30/2021
09/21/2021
Waterloo Water Works Services
Water $34.83
Water Service Excise Tax $2.09
Late Penalty $0.26
Water Works Subtotal $37.18
City of Waterloo Services
Sanitary Sewer $58.93
Storm Water Fee $13.50
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $5.87
City of Waterloo Subtotal $128.55
CHARGE SUM
ARY
Previous Balance
Credits/Payments
Balance Forward
$24.77
-$65.00
-$40.23
Water Works Subtotal $37.18
City of Waterloo Subtotal $128.55
Total Current Service Charges $165.73
Total Amount Due $125.50
Amount Due After 09/21/2021 $131.67
Previous Read Date Current Read Date Previous Read
Previous Read Type Current Read Current Read Type
Usage (CCF)
05/24/2021
08/18/2021
1,264
Actual
Oo
^O. 'N 's O O O
ry0 ,y0 ,y0 ,LO' ry0�' �0�' ry01'
i
1,275
Actual
11
SPECIAL MESSAGES
Now Available Online 2020 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CI
CKS PAYABLE TO:
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE:
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Tot A aunt Due:
125.50
Amount Due After :
131.67
Di l tg Due Date:" "
09/21/2021
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO Wry • WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
ACCOUNT SUMMARY
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
11/29/2021
12/20/2021
Waterloo Water Works Services
Water $30.57
Water Service Excise Tax $1.84
Late Penalty $6.17
Water Works Subtotal $38.58
City of Waterloo Services
Sanitary Sewer $53.25
Storm Water Fee $13.50
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $12.00
City of Waterloo Subtotal $129.00
CHARGE SUMMARY
Previous Balance
Credits/Payments
Balance Forward
$125.50
-$131.67
-$6.17
Water Works Subtotal $38.58
City of Waterloo Subtotal $129.00
Total Current Service Charges $167.58
Total Amount Due $161.41
Amount Due After 12/20/2021 $169.39
Previous Read Date Current Read Date
Previous Read Previous Read Type
rent Read
Current Read Type
Usage (CCF)
08/18/2021
11/23/2021
1,275
Actual
1,284
Actual
9
12
E.10
U 8
U 6
0 4
A
0 2
0
00 1Z^
'19 19
i
0I1 CP oP ••N 01' 05
ti
0'19 0'19 0,�0' ti Dry^ 0C
' ' ti ' ti
SPECIAL MESSAGES
Now Available Online 2020 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CHECKS PAYABLE TO:
WATERLOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Total Amount Due:
161.41
Amount Due After :
169.39
Billing Due Date:
12/20/2021
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
WATERLOO WA
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
CORKS
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Pave 1of1
Ai
COUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/01/2022
03/22/2022
Waterloo Water Works Services
Water $41.63
Water Service Excise Tax $2.50
Water Works Subtotal $44.13
City of Waterloo Services
Sanitary Sewer $67.45
Storm Water Fee $13.50
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $12.00
City of Waterloo Subtotal $143.20
CHARGE.SUMMARY
Previous Balance
Credits/Payments
Balance Forward
$161.41
-$169.39
-$7.98
Water Works Subtotal $44.13
City of Waterloo Subtotal $143.20
Total Current Service Charges $187.33
Total Amount Due $179.35
Amount Due After 03/22/2022 $188.19
us Read
11/23/2021
ent ea ate
02/23/2022
Fi
1,284
vl
:ad:Type ,...:
Actual
Cunt R.
1,298
rd, .
Current
Actual
14
ep oti ah as
ti�^o• e e e• e, ti�ry^, ti�ry^, ti�ry^•
SPECIAL. MESSAGES'
Now Available Online 2020 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CHECKS PAYABLE TO:
WATE
LOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
VORKS
ADDRESSEE:
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
riount Due
Amount Due After :
79 35
188.19
rtg
Amount Enclosed:
/222t 22
;REMIT Tt
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WA c WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
05/31/2022
06/21/2022
Waterloo Water Works Services
Water
Water Service Excise Tax
Water Works Subtotal
$33.03
$1.99
$35.02
City of Waterloo Services
Sanitary Sewer $56.09
$13.50
$35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $12.00
City of Waterloo Subtotal $131.84
Storm Water Fee
Garbage
CHARGE SUMMARY
Previous Balance
Credits/Payments
Balance Forward
$179.35
-$180.00
-$0.65
Water Works Subtotal $35.02
City of Waterloo Subtotal $131.84
Total Current Service Charges $166.86
Total Amount Due $166.21
Amount Due After 06/21/2022 $174.42
Previous Read ate Current Read Date
Previous Read Previous Read Type
Current Read
Current Read Type
Usage CCF
02/23/2022
05/19/2022
1,298
Actual
14
12
0 U 10
U 6
, 6
4
Z
� 0
I i
01' O.' 0 N's `L 0y 00 .' O'L
O19 O'P '1O ,b19 `Y^ O1•N 'L^ 'L1 0'y'L
ti ti 19 ti ti0ti 1.9ti ti
1,308
Actual
10
'1
SPECIAL MES
GES
Now Available Online 2021 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
A
CHEC
PAYABLE TO:'
WATERLOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
ADDRESSEE:
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Tota'i• A mou t Due::
166.21
Amount Due After :
174.42
Billing Due ate;
06/21/2022
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WA ORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
ACCOUNT SU
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
08/31/2022
09/22/2022
Waterloo Water Works Services
Water $33.03
Water Service Excise Tax $1.99
Water Works Subtotal $35.02
City of Waterloo Services
Sanitary Sewer $58.78
Storm Water Fee $14.25
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $12.00
City of Waterloo Subtotal $135.28
CHARGE SUMMARY
Previous Balance
Credits/Payments
Balance Forward
$166.21
-$180.00
-$13.79
Water Works Subtotal $35.02
City of Waterloo Subtotal $135.28
Total Current Service Charges $170.30
Total Amount Due $156.51
Amount Due After 09/22/2022 $163.27
Previte Read Date Current Read Date
05/19/2022
08/24/2022
Previous
1,308
via# ad Tyn Current Read
Actual
1,318
c
ent Read Type Usage (CCF),
Actual
10
GES
Now Available Online 2021 Annual Drinking Water Quality Report
http://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CHEF PAYABLE TO:
WATERLOO WA.
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
WORKS
Al
DRESSEE:,,
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Total mount
51
Amount Due After :
163.27
Bi!#ice i ue Date:
„
09/22/2022.
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WA t WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Page 1 of 1
ACCOUNT SUM
ARY
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
11/30/2022
12/21/2022
Waterloo Water Works Services
Water $48.08
Water Service Excise Tax $2.89
Water Works Subtotal $50.97
City of Waterloo Services
Sanitary Sewer $70.70
Storm Water Fee $14.25
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $12.00
City of Waterloo Subtotal $147.20
CHARGE SUMMARY
Previous Balance
Credits/Payments
$156.51
-$156.51
Water Works Subtotal $50.97
City of Waterloo Subtotal $147.20
Total Current Service Charges $198.17
Total Amount Due $198.17
Amount Due After 12/21/2022 $207.93
Previous Read Date
Current Read Date Previous Read
Previous Read Type
Current Read Curren
Re
Type
ge (CCF)
08/24/2022
11/21/2022
1,318
Actual
Or1' 05 00
tiOryo tioryo , ryo'L^ 'PI> ti91'1 tiOryry o'L ol`L
1,335
Actual
17
SPi
CIAL MESSAGES
EFFECTIVE JAN 1 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE
SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE.
ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE
FOLLOWING BUSINESS DAY
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CHECKS PAYABLE TO:
WATERLOO WAT
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ORKS
ADDRESSEE:
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Total Amount Due:
198.17
Amount Due After :
207.93
Billing Due Date:
12/21/2022
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO. IOWA 50704
WATERLOO WA E WORKS
325 Sycamore Street
P.O. Box 27
Waterloo. Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
ACCOUNT SUM
IARY
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
03/01/2023
03/22/2023
Waterloo Water Works Services
Water $37.39
Water Service Excise Tax $2.25
Water Works Subtotal $39.64
City of Waterloo Services
Sanitary Sewer $64.74
Storm Water Fee $14.25
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee $15.00
Yard Waste / Recycle Curbside $12.00
City of Waterloo Subtotal $141.24
Previous Balance
Credits/Payments
$198.17
-$198.17
Water Works Subtotal $39.64
City of Waterloo Subtotal $141.24
Total Current Service Charges $180.88
Total Amount Due $180.88
Amount Due After 03/22/2023 $189.81
Previous Read Date Current Read Date
Previous Read
Previous Read Type a ,
Current R
Current Read Type Usage(
11/21/2022
11/22/2022
11/22/2022
02/23/2023
1,335
1,343
Actual
Actual
50
1^y 40
U 30
&20
10
D 0
1
:' 01' 00 00
ryo19. LO LOB ryOry,. ryOry,. , , '9ryti tiPryti
1,343
1,347
Actual
Actual
8
4
EFFECTIVE JAN 1 2023 ALL TRANSACTIONS TO INITIATE OR REINSTATE
SERVICES MUST BE COMPLETED BY 3:00 PM FOR SAME DAY SERVICE.
ANY TRANSACTIONS AFTER 3:00 PM WILL BE SCHEDULED THE
FOLLOWING BUSINESS DAY
Please detach and return the bottom portion with your payment. See reverse side for additional information
MAKE CHECKS PAYABLE TO:
WATERLOO WA
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
ADDRESSEE:
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Total
Amount Due After :
80.88'
189.81
03/22/2023'
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WATe WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, Iowa 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Paee 1 of 1
ACCOUNT` SUMMARY
Customer Name:
Account Number:
Service Address:
Brad Carey
114437-550815
1852 LARK LN
Billing Frequency: Quarterly
Billing Date: 05/31/2023
Billing Due Date: 06/21/2023
Waterloo Water Works Services
Water $30.88
Water Service Excise Tax $1.86
Water Works Subtotal $32.74
City of Waterloo Services
Sanitary Sewer $55.80
Storm Water Fee $13.78
Garbage $35.25
Yard Waste / Recycle Site Maintenance Fee
Yard Waste / Recycle Curbside
City of Waterloo Subtotal
.83
C1lMG : SUMMARY
Previous Balance
Credits/Payments
$180.88
-$180.88
Water Works Subtotal $32.74
City of Waterloo Subtotal $131.83
Total Current Service Charges $164.57
Total Amount Due $164.57
Amount Due After 06/ 1/2023 $172.70
gd3
Previous Read Date Curren
Previo
ovlous::Eead Type„
Current Rem ; Current Bead Type Usage (CCF)
02/23/2023
05/19/2023
1,347
Actual
28
24
E.
20
U 16
y 12
oti o`' o0
ry,
ry^. 9
5'
9". ryory^,
Off'
ti
^'s p'l' p5
ryQryti ryoryti ryory.6b
ti�9, ryO9,
1,356
Actual
9
SPECIAL MESSES
Now Available Online 2022 Annual Drinking Water Quality Report
https://iowaccr.org/waterloo-waterworks
Please detach and return the bottom portion with your payment. See reverse side for additional information
A
CHECKS '.YAB TO:
WATE
LOO
P.O. Box 27
Waterloo, Iowa 50704
Phone: (319) 232-6280
iiORKS
ADDRESSEE:
Brad Carey
1852 Lark Ln
Waterloo, IA 50701
❑ Please check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
114437-550815
Total'a
:!1:1441.
Amount Due After :
164.57
172.70
BWhig Due Date.:
6/21/2f23
Amount Enclosed:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704