HomeMy WebLinkAboutCardiac_Stress_Test_reading_4-2025K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
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 Department to expend
$plus est. shipping costs of $to pay for or purchase
This purchase or expenditure is being made because:
Vendor selected for this purchase:
Bids or written quotes were taken on this purchase, as follows:
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 Sewer Sanitation
Bonds Federal/other grants
This expenditure is to be coded to the following budget line-item:
in which the budgeted amount is $
and the current available balance is $
Respectfully submitted,
(Signature Dept. Head or Designee)Date (Signature Finance Dept. Review)Date
Other (specify)
(Project Code)(Fund - Department - Activity - Account Number)
Police
6,640.00
(40) Cardiac Stress tredmill tests for Officer Wellness checks and reading of those tests.
0
Cardiac Stress tests for (40) Police Officers and reading of those tests.
Cedar Valley Medical Sprecialists
Cedar Valley Medical Sprecialists has partnered with the city to perfom Cardiac
Wellness checks on (40) Police Officers to look for pre exsisting
causes of heart disease or emergency heart issues with our staff.
010-11-1100-1314
$58,299.00
58,299.00
Aaron McClelland, Police Captain 4/14/25
Docusign Envelope ID: 7D7EBCA0-A6A7-4D22-9B9C-D5F92B0F6811
May 5, 2025
May 5, 2025