HomeMy WebLinkAboutCardiac_Stress_Test_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
20,800.00
(40) Cardiac Stress tredmill tests for Officer Wellness checks.
0
Cardiac Stress tests for (40) Police Officers.
Waverly Health Center
Waverly Health Center has partnered with the city to perfomr 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