HomeMy WebLinkAboutPA_-_Street_Department_(Crash_Cushion_Parts) Docusign Envelope ID:9A76F043-E240-435E-B791-8B6696940485
City Clerk Use Only
Finance Committee
Approval Date 4/7/2025
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 Streets Department to expend
$ 10,104.00 plus est. shipping costs of $ 350.00 to pay for or purchase
Crash cushion parts.
This purchase or expenditure is being made because:
Crash barrier on Franklin / Broadway curve damaged in accident.
Vendor selected for this purchase: HCI
Bids or written quotes were taken on this purchase, as follows:
F■ Bids or quotes were not taken on this purchase because:
Vendor specific.
Prior Committee Actions (Dates):
Please check the following box(es)as appropriate to describe the funding for this expense:
❑ General Fund ❑E Road Use Tax F—I Sewer ❑ Sanitation
EI Bonds ❑ Federal/other grants F—I Other(specify)
This expenditure is to be coded to the following budget line-item:
266-19-7100-1555
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 20,000.00
and the current available balance is $ 11,121.29
Respectfully submitted, Signed by:
B,�d��X'ZlJood
Sheila Steffen 4.7.2025 D90DA858F75C40E 4/7/2025
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\Expenditure Pre-Authorization.xls(Mar 2010)