HomeMy WebLinkAboutPA_-_Street_Department_(Floats_and_valves) Docusign Envelope ID:9A76F043-E240-435E-B791-8B6696940485
City Clerk Use Only
Finance Committee
4/7/2025
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 Streets Department to expend
$ 4,897.42 plus est. shipping costs of $ 750.00 to pay for or purchase
Floats and valves for brine machine.
This purchase or expenditure is being made because:
Replacement parts for brine machine.
Vendor selected for this purchase: Henderson
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 ❑ Sewer ❑ Sanitation
EIBonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
266-19-7200-1571
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 175,000.00
and the current available balance is $ 53,475.01
Respectfully submitted, Signed by:
Sheila Steffen 4.7.2025
E
vr.�X Zllood 4/7/2025
nannnasaF�sranF
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared good ies\forms\Expenditure Pre-Authorization.xls(Mar 2010)