HomeMy WebLinkAboutPA_Leisure_Services_(Multi-Purpose_Room_Flooring)Docusign Envelope ID: 370181 E5-D555-41 B0-90C7-CB4944731 DAB
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City Clerk Use Only
Finance Committee
Approval Date 9/2/2025
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council
purchase or expenditure submitted by the
$ 37,359.00 plus est. shipping costs of
Robins Palastic Classic 90 seamless pad and
is hereby requested to authorize the following
Leisure Services
Department to expend
$ to pay for or purchase
pour urethane flooring for the Multi -Purpose Room.
at the Cedar Valley SportsPlex.
This purchase or expenditure is being made because:
the flooring is original and has outlived it's life and warranty.
Vendor selected for this purchase:
H21 Group
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
the flooring purchase is being made through a cooperative purchase using Sourcwell
Contract 031022-RBI. Bids were not taken because H21 Group is the only Robbins Pulastic vendor
for the State of Iowa
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund IT Road Use Tax IT Sewer n Sanitation
Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
324-37-4180-2152 & 325-37-4180-2152
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
JB Bolger 8/20/25
(Signature Dept. Head or Designee) Date
(Project Code)
$ 40,000.00 / 100,000.00
$ 5119.06/ 100,000.00
�Signed by:
�W°°d 9/2/2025
roar ..gar,
(Signature Inance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)