HomeMy WebLinkAboutApproved Documents - 1/8/2018 FINANCE DEPT. STAFF ONLY
LINE ITEM USED (�(d .�(p I/02�os /3"/6
TRAVEL REQUEST FY'�U6 BUDGETED ?oho `4"
CITY OF WATERLOO EXPENDED YTD ///3
THIS REQUEST 9�
LEFT AFTER THIS
REQUEST y�/.ol qf
DATE m- /�.2 S /7
Original-Clerk/Finance Copy-bepartment
NAME(S) AND POSITION(S): DATE:
Kent Shankle, Director December 21, 2017
NAME OF CLASS/MEETING: DESTINATION: Memphis TN, Santa Rosa FL, and
Pick-up of art by Bobbie Moline-Kramer and Woodie Long Gadsden AL
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
1/9/18 1/14/18 1/9/18-1/13/18
PURPOSE OF TRAVEL/TRAINING:
Travel will begin with delivery of materials to Memphis TN artist Fred Burton which he will embellish for an upcoming
exhibition at WCA. Subsequently, the trip will include a meeting and stay with the widow of American folk artist Woodie
Long to pack and collect a body of his paintings for a future exhibition at WCA and potential acquisition for the collection.
On the return, an exhibition of paintings by artist Bobbie Moline-Kramer will be picked-up from a museum in Gadsden AL
in preparation for exhibition at WCA. Travel costs are supported by a Cultural Leadership Partner grant.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM:0/6 . 6, /-3 1f6
. -
200 LODGING TAXI X GRANT REIMBURSABLE
(oUSG
175 MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
550 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 925.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD MAYOR
12- 2l � �� 1ig
1t
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
City Clerk Use Only
Finance Committee
Approval Date (l
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 WFR Department to expend
$ NTE $2,000 plus est. shipping costs of $ N/A to pay for or purchase
Conduct service and maintenance on Engine 304.
This purchase or expenditure is being made because:
Engine 304 is at Pierce Manufacturing having body work completed and is in need of
engine and transmission maintenance.
Vendor selected for this purchase: Pierce Manufacturing
Bids or written quotes were taken on this purchase, as follows:
x Bids or quotes were not taken on this purchase because:
Single Source Provider
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
x General Fund Road Use Tax n Sewer Sanitation
Bonds Federal/other grants Other(specify)
This expenditure is to be coded to the following budget line-item:
010-12-1400-1319
(Fund - Department-Activity- Account Number) (Project Code)
in which the budgeted amount is $ <G, 00 0
and the current available balance is $ '1,'J / f
Respe s
I lq I ig ghd,&) 74-,2-6!
(Signature Dept. H ad or Designee) Date (Signature Finance Dept. Review) Date
Sent over 010418.
City Clerk Use Only
Finance Committee
Approval Date 9 E!>
i$
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer Department to expend
$ 10.691.60 plus ext. shipping cost of $ 400.00 to pay for or purchase
Pump and Motor repair, includes repair kit, cable wire,reconditioned rotor,labor and assessory parts
for Lagoon wet well pump
This purchase or expenditure is being made because:
Motor seal failer,got water in motor.
Vendor selected for this purchase:
Electric Pump
[]Bids or written quotes were taken on this purchase, as follows
Pr Bids or quotes were not taken on this purchase because:
Electric Pump is rep. for repair of this pump and motor. City Strategic Plan, Strategy 4.5
Maintain and develop community services and city facilities that support quality of place.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund: []Road Use Tax: []Sewer: []Sanitation:
[]Bonds: []Federal/other grants: Other(specify):
This expenditure is to be coded to the following budget line-item:
520-14-5200-1378
(Fund - Department-Activity-Account Number) (Project Code)
in which budgeted amount is $ 48,000.00 `'
and the current available balance is
Respectfully submitted,
9 c �iJJ� Z)-1 ,. 2, 2D i r!1' � /-3-,2d/f
(Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date
City Clerk Use Only
'Finance Committee } /
Approval Date /e / l b
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer Department to expend
$ 4.126.00 plus ext. shipping cost of $ 300.00 to pay for or purchase
6" DeZurik Butterfly valve with Auma Actuator for#3 WAS tank air line
This purchase or expenditure is being made because:
For improved sludge mixing and decantation by controling when aeration is being
done in the WAS tank.
Vendor selected for this purchase:
Qtech Automation, Inc
Bids or written quotes were taken on this purchase, as follows
7-Bids or quotes were not taken on this purchase because:
Qtech Automation, Inc. is rep. to purchase this brand of valve w/actuator. City Strategic
Plan, Strategy 4.5 Maintain and develop community services and city facilities that
support quality of place.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
l l General Fund: nRoad Use Tax: nSewer:
l I Sanitation:
nBonds: Federal/other grants: TOther(specify):
This expenditure is to be coded to the following budget line-item:
520-14-5200-1378
(Fund - Department -Activity-Account Number) (Project Code)
in which budgeted amount is $ 41.K DO()
and the current available balance is $ 36.778.57 .4�Uzi ?
Respectfully submitted,
B't#4//;`- _,_1-2--10/K--
T 64v- 2 (8 ,C� (cLe„G„/, /-32Ql8
(Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date
City Clerk Use Only
Finance Committee ,/
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 Bldg Maint Department to expend
$ 3,640.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Replace fire alarm master control panel for Waterloo Public Library- allows us to
discontinue dedicated call out system @$70.00 monthly-system currently in crisis mode
Vendor selected for this purchase: Hawkeye Alarm & Signal Company
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Due to timing and current servicer has the necessary parts on hand to do work
within the next week. Trying to standardize our equipment.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
n General Fund Road Use Tax Sewer n Sanitation
QX Bonds n Federal/other grants n Other(specify)
This expenditure is to be coded to the following budget line-item:
416-22-3100-2152 & 417-22-3100-2152
(Fund - Department-Activity-Account Number) (Project Code)
<7/0 41/7
in which the budgeted amount is $ 5CUa
/� o00
and the current available balance is $ -4 /p,d00 ✓
Respectfully submitted,
� d(�� - '/3 i& A
I 1 j �O,Gc� ( 1/.c,, 4 /-3/Y
(Signa re Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization-Library-Fire Alarm Panel.xls(Mar 2010)
City Clerk Use Only
Finance Committee Approval Date 146
$
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 Clerk's Office Department to expend
$ 36,206.30 plus est. shipping costs of $ to pay for or purchase
Costs associated with the 2017 Waterloo City Election
This purchase or expenditure is being made because:
Vendor selected for this purchase: Black Hawk County Auditor
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Municipal Election Black Hawk County
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
nGeneral Fund n Road Use Tax n Sewer n Sanitation
n Bonds ri Federal/other grants n Other(specify)
This expenditure is to be coded to the following budget line-item:
010-03-8400-1780
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 420gU
and the current available balance is $ ppp`e'
Respectfully submitte ,
(Signature Dep . Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\2015 Waterloo City&Runoff Election Expenses(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 8 /I 8
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 7,600 plus est. shipping costs of $ to pay for or purchase
Rental of heavy equipment.
This purchase or expenditure is being made because:
The equipment is needed to dredge the pond on Gates #12 & #13, and the pond on
#11 at Warren Memorial golf course.
Vendor selected for this purchase: MidCountry Machinery, Waterloo IA
Bids or written quotes were taken on this purchase, as follows:
X Bids or quotes were not taken on this purchase because:
They are the only local company with the heavy equipment needed for this
project.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund Road Use Tax Sewer Sanitation
Bonds Federal/other grants X Other (specify) golf surcharge
This expenditure is to be coded to the following budget line-item:
010-37-4125-1390 AFTER AMENDMENT
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 7,600.00 ✓
and the current available balance is $ 7,600.00
Respectfully submitted,
'/? / I i�� �,�c. ((1.1A.64 1 3-.v/8
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\MidCountry Preauth.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date i,/ /l
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 Planning Department to expend
$ 5,700.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Prepare ALTA survey and preliminary and Final plats for Brock's 2nd Addition
This purchase or expenditure is being made because:
Plats and ALTA survey were a requirement for the development of the Kwik Star Blending
Station
Vendor selected for this purchase: Wayne Claassen Engineering
n Bids or written quotes were taken on this purchase, as follows:
Helland Engineering - $7,650
Claassen Engineering - $5,700
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:
ElGeneral Fund [1 Road Use Tax I I Sewer ❑ Sanitation
El Bonds n Federal/other grants QX Other(specify) Martin TIF
This expenditure is to be coded to the following budget line-item:
'/&42e 08 6250 2103
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 300_c. o
and the current 7ifable balance is $ p?/. i31 s‘
Re ectf su itte
/. 62.r� j, e�i�o�� LcJ�."—ttpr.e/L- /-3- OIS
(Signature Dept. Head or Designee) Date (Sighature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls(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: !/8/1 8
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 2018 submitted by the Leisure Services 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
4{5f 9, 7 8'
010 37 4125 3000 cash 7-006760 .010 37 4125 1390 other contract
7,600.00
Oa 37 .11/26- i s 3 i 3030.2Z
TOTAL $7,600.00 TOTAL
$7,600.00
This amendment is being requested because:
to budget the balance of the golf surcharge money for this golf improvement expense.
Prior Committee Actions(Dates):
•
), Q \'`_ `75 ( O %u J 1 a,11,1A
(Signature Dept. Read or Designee) Date
(Signature Finance Dept. Review) Date
Date Posted(Finance Dept.)
K:\users\shared goodies\forms\Budget Amendment Request Form.xis(Apr 2003)
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date l!%S/I b
Project Name (from page one) Ansborough Avenue Improvements Black Hawk to Downing
Department No. project will be budgeted under
Activity No. project will be budgeted under r7r
(Each column should only include amounts by fund)
Fund: _290_ Fund:(/7 Fund: Fund:
Total
REVENUES:
3000 Cash on Hand $
3112 Local Option Sales Tax
3350 Federal Grant 277,600.00 277,600.00
3357 Shared Program - County _
3358 Shared Program -City _
3360 Shared Program -State _
3361 State Grant
3365 State RISE Grant _
3368 EPA Grant _
3377 EDA Grant _
3720 Donations- Restricted
3750 Sale of Bonds 69,400.00 69,400.00
TOTALS $ 277,600.00 $ 69,400.00 $ - $ - $ 347,000.00
EXPENDITURES:
2103 Engineering & Consulting $ 48,000.00 $ 12,000.00 $ 60,000.00
2125 Traffic Control Equipment 32,000.00 8,000.00 40,000.00
2140 Land Acquisition 48,000.00 12,000.00 60,000.00
2144 Land Improvements _
2146 Demolitions _
2151 Building Construction
2156 Bikeway Construction _
2162 Storm Sewers _
2163 Sanitary Sewers _
2164 Sidewalks
2165 Streets & Roadways 149,600.00 37,400.00 187,000.00
2199 Non-participating Misc
TOTALS $ 277,600.00 $ 69,400.00 $ - $ - $ 347,000.00
3-� !X
(Signature Dept. H ad) 1/3//Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Newof Project Budget Worksheet.xls\Page 2(Constr Proj) (Mar 2010)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name Ansborough Avenue Improvements Black Hawk to Downing
City Contract No. • - /7 2 To be assigned by the Finance'Dept
Project Manager Mohammad Elahi Project• o -
Project Budget Total $ 347,000.00 StbProecfc' 4
1. How will this project be funded?
A. Federal Grant Yes x No CFDA# 20.205 % Paid by federal grant 80.00%
Grant Name ICAAP Grant Agreement Number 2017-ICAAP-05
B. State Grant Yes No x % Paid by state grant 0.00%
Grant Name Grant Agreement Number N/A
C. City Match Source of Funding G.O. Bond % Paid by City 20.00%
D. Other Entities Yes No x % Paid by other entity N/A
Name
Done None
2. Attach copies of any grant agreements that will fund the project(REQUIRED) 111 El
Yes No
3. Does the project include the purchase of right of way or other real property? x
If yes, will real property purchases be reimbursable under the grant? Q LI
If yes, have you attached authorization to purchase real property to this document? El Q
4. Will this project include any non-participating expenses, such as:
A. Stormwater permit fees El El
B. Publication, or printing costs El El
C. Others, list El El
5. Does this project cover any regular full-time salaries or benefits? El El
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
Add right through lane and convert into two-way center left turn lane with signal improvements and signal timing/phasing
revisions on Ansborough Avenue from Black Hawk Road north 0.1 miles to Downing Avenue
Page 2 must be attached and signed.
K:\shared goodies\forms\Newof Project Budget Worksheet.xls\Page 1 All Projects (Mar 2010)