HomeMy WebLinkAboutPA_-_Central_Garage_(Turbo_Actuator_Parts-141604) Docusign Envelope ID:0OC811 B6-8F68-4800-9877-209BD0738CDF
City Clerk Use Only
Finance Committee
Approval Date 5119/2025
City of Waterloo
Expenditure Pare-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
$ 3,580.20. plus est. shipping costs of $ 75.00 to pay for or purchase
Turbo actuator parts for 141604.
This purchase or expenditure is being made because:
Failed turbo on truck 141604; replacement of Cummins Turbo with actuator.
Vendor selected for this purchase: Reliant Fire (Des Moines, IA)
Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
Verbal authorization from finance department.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
0 General Fund ❑ Road Use Tax ❑ Sewer EI Sanitation
Bonds FederaVother grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-18-7955 1571
(Fund- Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 595,500.00
and the current available balance is $ 33,033.00
Respectfully submitted, FSigned by:
5!14126
Sheila Steffen eel 5/19/2025
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
KAshared goodiesVorms\Expenditure Pre-Authorization.xls(Mar 2010)
Docusign Envelope ID:0OC811 B6-8F68-4800-9877-209BDO738CDF
4/4125,8:38 AM � � � pb Estimate
COUNTER SALE ESTIMATE k�
Reliant Fire Apparatus, Inc. Cs: CS-IA-1393
4769 NE 21st Court Date: 4/412025
Des Moines, IA 50313
serviceia@reliantfire.com All
515-350-7491
Bill To Ship To Remit To
WATERLOO FIRE RESCUE WATERLOO FIRE Reliant Fire
425 E Third Street RESCUE Apparatus
Waterloo, IA 50703 625 Glenwood Street PO BOX 470
Waterloo, IA 50703 Slinger, W! 53086
Terms Due Date Unit Purchase Order
Net 30 5/4/2025
Line Part# Description UOM Quantity Rate Amount
1 5324134RM-WA CUMMINS TURBOWIACTUATQR 1 $3,580.20 $3,580.20
2 Inherent Core For 5324134RM-WA Inherent Core forCUMMINS TURBO WI ACTUATOR 1 $1,500.00 $1,500.00
Subtotal $5,080.20
Total $5,080.20
Balance $5,080.20
The details and the estimate for the repairs provided above are based on our first inspection and do not constitute a guarantee that no further work or parts will be
required. The estimate is not a guarantee of the final price of the repairs. The total bill or work and final price will be as per the details available on completion of the
repairs.Other terms and conditions as applicable.If you authorize us to perform the above repairs,either verbally or in writing,you agree to pay in full for the v,ork
performed and parts required.
A surcharge of 4.00%of the transaction amount on Visa and Mastercard purchases,which is not greater than our cost of acceptance,will be charged. We do not
surcharge Visa and Mastercard debit cards_
Parl Returns.. Returns will be accepted within fourteen(I days of the original invoice date and sub,Fect to a 10%restocking fee for non-fabricated or special order
parts. Fabricated or special order parts sales are final norrreturnabfe Shlp pingsrandlingrfreighvsurcharges incurred will be the responsibility of the Purchaser and
not refunded from the original invoice.
*10
We would love yourfeedback! Please tell us how we did using the link
below. It will only take a minute of your time and each review helps us to
grow and improve our service.
https:/Ibh.ly/rella ntservice
https:llapp.fullbay.com/officelviorkorder/printRepairOrderinvoice.htm] ili
Docusign Envelope ID:0OC811 B6-8F68-4800-9877-209BDO738CDF
Page: 1 of 1
Reliant Fire Apparatus, Inc. Invoice INV-IA-1818
4769 NE 21st Court Date: 4124/2025
Des Moines, IA 50313 F , � '
serviceia@reliantfire.com
515-350-7491
BIII To Ship To Remit Payment To
WATERLOO FIRE RESCUE WATERLOO FIRE Reliant Fire
425 E Third Street RESCUE Apparatus
Waterloo, IA 50703 625 Glenwood Street PO BOX 470
Waterloo, IA 50703 Slinger, WI 53086
Terms Due Date CS Unit# Purchase Order
Net 30 5/24/2025 CS-IA-1393
Line Part# Description Quantity UOM Rate Amount
1 5324134RM-WA CUMMINS TURBO WI 1 $3,580.20 $3,580.20
ACTUATOR
2 Inherent Core For 5324134RM- Inherent Core for CUMMINS 1 $1,500.00 $1,500.00
WA TURBO WI ACTUATOR
3 Dirty Core For 5324134RM- Dirty Core for CUMMINS TURBO -1 $1,500.00 -$1,500.00
WA WIACTUATOR
4 Shipping/Freight Shipping and Freight 1 $75.00 $75.00
Subtotal $3,655.20
Total $3,655.20
Payments&Credits $0.00
Balance Due $3,655.20
If wheals were removed for any reason the lug nuts should be rechecked after OEM recommended mileage.
A surcharge of 4.04%of the transaction amount on Vise and Mastercard purchases,which is not grea far than our cost of acceptance,will be charged.We do not
surcharge Visa and Mastercard debit cards.
Part Returns: Returns will be accepted within fourteen(14)days of the original Invoke date and subject to a 10%restocking fee for non-fabricated or special order parts.
Fabricated or special order parts sales are final and non-retumable.Shippinoandling#reighUsurcharges incurred will be the responsibility of the Purchaser and not
refunded from the original invoice.
. We would love your feedback) Please tell us how we did using the link below. It will only
• take a minute of your time and each review helps us to grow and improve our service.
L
ti httpsaibit.ly/reliantservice
Docusign Envelope ID:0OC811 B6-8F68-4800-9877-209BDO738CDF
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Pre-Authorization Request
Item Description:
C�OAt M5 �ur w
Intended Use(replacement for X, new unit for X purpose,etc.):
6MAtM- d,
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Sourcewell / StateBid ! HGAC / Demo Unit
U47
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Quotes:
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1. $ 3�J✓. Vendor:
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2. $ Vendor:
3. $ Vendor:
Account(GL code): 016- E - I�`7 `