HomeMy WebLinkAboutFire_(Reporting_Software) Docusign Envelope ID: E12F5939-65C6-4AE0-A31A-4118253F5977
City Clerk Use Only
Finance Committee
Approval Date 8/18/2025
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 Fire Department to expend
$ 16,528.05 plus est. shipping costs of $ 0.00 to pay for or purchase
ambulance patient care reporting software and data management services
This purchase or expenditure is being made because:
annual subscription fee for ambulance patient care reporting and data management services
Vendor selected for this purchase: ESO Solutions, Inc
Bids or written quotes were taken on this purchase, as follows:
F■ Bids or quotes were not taken on this purchase because:
Annual data management subscription in which fire department currently utilizes
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 F—] Sanitation
EIBonds ❑ Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-12-1410 1520
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 17,490.00
and the current available balance is $ 17,043.57
Respectfully submitted,
Signed by:
Bill Beck 08/06/2025 � �°°d 8/18/2025
(Signature Dept. Head or Designee) Date ance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)