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HomeMy WebLinkAboutPA_-_Central_Garage_(Windows_Tint_Installation) Docusign Envelope ID:9A76F043-E240-435E-B791-8B6696940485 0 d City Clerk Use Only Finance Committee Approval Date 417125 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 Central Garage Department to expend $ 3,276.00 plus est. shipping costs of $ to pay for or purchase Windows and tint and installation. This purchase or expenditure is being made because: Add five (5)windows with tint on 172506 to aid in visual traffic inspections and traffic repairs. Vendor selected for this purchase: Glass Tech (Cedar Falls) QBids or written quotes were taken on this purchase, as follows: Glass Tech - $3,276.00 Coffman's Body Shop- No response Safelite Auto Glass - No response 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: ❑E General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation Bonds ❑ FederaVother grants [:] Other(specify) This expenditure is to be coded to the following budget line-item: 266-17-7120 1569 (Fund- Department-Activity-Account Number) (Project Code) in which the budgeted amount is $ 4500.00 and the current available balance is $ 4485.01 Respectfully submitted, Signed by: Sheila Steffen 4/7/25 �uc(�r.4X Zdood 4/7/2025 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date KAsha red goodieslforms\Expenditure Pre-Authorization.xls(Mar 2010) Docusign Envelope ID:9A76F043-E240-435E-B791-8B6696940485 GLASS TECH(Tax ID:2115691.09) puate 958 4600305 GLASS TECH Quote 968-4500305 Ar dress: 1925 Waterloo Rd " Date:Mar 03,2025 Cedar Falls,IA 50613 ` Scheduled:N/A oIhorSe: (319)268-91350 a.\: (319)277-6849 4lebsite: gtasstechcedarfalls.com Customer Bill TO City Of Waterloo City Of Waterloo 625 Glenwood St 625 Glenwood St Waterloo,IA 50703 Waterloo,IA 50703 (339)291-4522 (319)291-4522 (319)215-8080 (319)215-8080 dehard.strange@waterloo-ia.org richard.strange@waterloo-le.org Locaiicr Bill To Terms Due on receipt ah' Part Description List Price Discount Material Flours Labor Item Total 1 DTT18001 DRIVERS SIDE WINDOW TINTED $0.00 0.00°/6 $489.00 0 $225.00 $714.00 1 DTT1802 DRIVERS SIDE CENTER WINDOW TINTED $0.00 0.00% $399.00 0 $225.00 $624.00 1 OTT1807 DRIVERS SIDE REAR.WINDOW TINTED $0.00 0.00% $389.00 0 $225.00 $614.00 1 DTT1805 PASSENGER SIDE CENTER WINDOW TINTED $0.00 0.00% $485.00 0 $225.00 $710.00 1 DTT1800 PASSENGER SIDE REAR WINDOWTINTED $0.00 0.00% $389.00 0 $225.00 $614.00 0-00 $2151.00 0 $1125.00 $3276.00 Ship To Vehicle Material: $2151.00 Rich 2024 Ford Transit 100.8"Roof Van Labor-. $1125.00 Tax: $0.00 625 Glenwood St VIN: 1FTBW2C8KSKA09414 Total:$3276.00 Waterloo,IA 50703 Plate: - Unit: - Mileage: - Balance:$3276.00 (319)291-•4522 IN SOME CASES,THE ATTEMPT TO REPAIR A WINDSHIELD CAN RESULT IN THE CHIP OR CRACK BECOMING LARGER,AS YOUR WINDSHIELD WAS ALREADY COMPROMISED.THUS,WE ARE NOT RESPONSIBLE FOR ANY SUCH DAMAGE.I hereby authorize the above repair work to be done,along w€th the necessary material,and hereby grant you and/or your employees permission to operate the vehicle herein described on street,highways and elsewhere for the purpose of inspection,testing and pick-up/delivery to me.An Express Mechanle's Lien is hereby acknowledged on the above vehicle to secure the amount of repairs thereto. Not responsible for damage or loss to vehicle or articles therein by cause beyond our control-REPLACEMENT HAS BEEN MADETO MY SATISFACTION AND HEREBY ASSIGN SUCH PROCEEDS AS MAY BE REQUIRED TO SATISFY ALL AMOUNTS DUE AND OWING TO THE ABOVE NAMED COMPANY FOR SAID INSTALLATION.IF,FOR ANY REASON,THE INSURANCE COMPANY OR THIRD PARTY THAT MAY BE RESPONSIBLE FOR PAYMENT BY CONTRACT OR OTHERWISE DOES NOT PAY FOR THESE REPAIRS/REPLACEMENTS,THE PERSON SIGNING THE WORK ORDER WILL BE RESPONSIBLE FOR THE FULL COST OF THE REPAIR All claims and returned goods must be accompanied by this invoice.No claims for breakage allowed after signing for delivery for parts in good order.ALL URETHANE SET GLASS GUARANTEED AGAINST LEAKS OR DEFECTS IN WORKMANSHIP FOR LIFE OF VEHICLE--NON-TRANSFERABLE. Thank you for your business.We appreciate the opportunity to serve you. Print Name Authorized Signer Page 1 o1 1 Docusign Envelope ID:9A76F043-E240-435E-B791-8B6696940485 V Pre-Authorization Request item Description: � �., l uhc� j'/1g l("c( Intended Use(replacement for X, new unit for X purpose, etc.): .'JJ I�4 sourcewelt / state Bid / HGAC / Demo Unit y 1 j Quotes: 1. OA 3A'7 Vendor, -� ass l e 0 0 {� 2 $ Vendor: T 3 Vendor:% `� � Account(GL code):