HomeMy WebLinkAboutPA_Central_Garage_(Hydraulic_Suspension_Pump) Docusign Envelope ID:5B6494CA-5348-4AB3-A1 AF-3695E01FD5D4
City Clerk Use Only
Finance Committee
Approval Date 7/7/2025
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 Central Garage Department to expend
$ $2,577.96 plus est. shipping costs of $ 25.06 to pay for or purchase
Hydraulic Suspension Pump on #121336.
This purchase or expenditure is being made because:
Replace rear hydraulic suspension pump due to failure (121336).
Vendor selected for this purchase: Reliant Fire
Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
Verbal authorization of director to make purchase on emergency repair.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
QGeneral Fund 0 Road Use Tax ❑ Sewer ❑ Sanitation
EI Bonds FederaVother grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-18-1411 1571
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 38,000.00
and the current available balance is $ 37,917.45
Respectfully submitted,
Signed by:
Sheila Steffen 7171256VK 64Y 7/7/2025
(Signature Dept. Head or Designee) Date igna ure mance Dept. Review) Date
KAshared goodieslformslExpenditure Pre-AuthorizationAs(Mar 2010)
Docusign Envelope ID:5B6494CA-5348-4AB3-A1 AF-3695E01FD5D4
Reliant Fire Apparatus, Inc. Invoice: INV-IA-1556
4769 NE 21 st Court "
} _�k�. -�> � Date: 412I2025
Des Moines, IA 50313 ;.
serviceia@relianttire,com 1
515-350-7491
Bill To Ship To Remit To
WATERLOO FIRE RESCUE WATERLOO FIRE RESCUE Reliant Fire Apparatus
425 E Third Street 625 Glenwood Street PO BOX 470
Waterloo, IA 50703 Waterloo, IA 50703 Slinger,WI 53086
Terms Due[late CS Lind Purchase Order
Net 30 512/2025 05-IA-1372 121336
Line Part# Descriptlon LIOM Quantity Rate Amount
1 125425 KIT SERVICE PAI GEN 2 SCOW 1 $2,772.00 $2,772.00
2 ShippinglFreight Shipping and Freight 1 $25.06 $25.06
7%DISCOUNT(-$194.04 x 1) -$494.04
Subtotal $2,603.02
Totat $2,603.02
Balance $2,603.02
If wheels were removed for any reason the lug nuts should be rechecked alter OEU recommended mi,'eage.
A surcharge of 4.4035 of the transaction amount on Visa and Mastercard purchases,which is not greater than aur cost of acceptance,wll be charged.We do not surcharge Visa and Mastercard
debit cards.
Part Retums: Returns wall be accepted w,Yhin fourteen(t4)days of the onginal invoice date and sub;ecl to a t0%restocking fee for non-fabrtcated or spe0at order parts. Fabncated or special
order parts sates are final and nomretumable.Shippinglhandlinglfmighvsufcharges incurred will be the respons;bifity of the Purchaser and not refunded!rom the original invoice.
r We would love your feedbackl 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
h tt p s:Nb l L l yl r e t i a n is a rvi c e
�L .rL� •W
Docusign Envelope ID:5B6494CA-5348-4AB3-A1 AF-3695E01FD5D4
Pre-Authorization Request
Item Description: �'/Jwj �� 5�5�nSz2r . 3c)rrti
i`Zov-
Intended Use(replacement for X,new unit for X purpose,etc.):
Pow f on 12,1 -35G awe__ 'red
Sourcewell / State Bid / HGAC / Demo Unit
Quotes:
1. �� b
. Vendor. e k
2. $ Vendor:
3. $ Vendor:
Account(GL code): f ��?�