HomeMy WebLinkAboutItem__43Docusign Envelope ID: DC93182E-EFC3-468E-9821-2C5F19E6OADB
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name IDOT Commercial Service Vertical Infrastructure FY-26 Grant
City Contract No.
Project Manager
Steven Kjergaard
Project Budget Total $ 123,103.00
1. How will this project be funded?
To be assigned by the Finance Dept.
Project No.
Subproject No.
A. Federal Grant Yes No X CFDA # % Paid by federal grant
Grant Name Grant Agreement Number
B. State Grant Yes X No % Paid by state grant 100.00%
Grant Name IDOT Commercial Service Vertical Infrastructure Grant Agreement Number 91260AL0200
C. City Match Source of Funding % Paid by City
D. Other Entities Yes No % Paid by other entity
Name
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
3. Does the project include the purchase of right of way or other real property?
If yes, will real property purchases be reimbursable under the grant?
If yes, have you attached authorization to purchase real property to this document?
4. Will this project include any non -participating expenses, such as:
A. Stormwater permit fees
B. Publication, or printing costs
C. Others, list
5. Does this project cover any regular full-time salaries or benefits?
If yes, employee/position to be covered.
Done None
❑X ❑
Yes No
❑ 0
❑ ❑
❑ ❑
❑ ❑X
❑ ❑X
❑ ❑X
❑ ❑X
6. Include a brief description of the project in the space below: (REQUIRED)
The purpose of this agreement is for accomplishment of certain infrastructure improvements at the Waterloo Regional Airport,
indentified as: Terminal Renovations (paint and carpet).
Page 2 must be attached and signed.
K:\shared goodies\forms\Project Budget Wkshts_IDOT Vert Infr FY26.xls\Page 1 All Projects (Mar 2010)
Docusign Envelope ID: DC93182E-EFC3-468E-9821-2C5F19E6OADB
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date 10/6/2025
Project Name (from page one) IDOT Commercial Service Vertical Infrastructure FY-26 Grant
Department No. project will be budgeted under 29
Activity No. project will be budgeted under 7760
REVENUES:
3000 Cash on Hand
3112 Local Option Sales Tax
3350 Federal Grant
3357 Shared Program - County
3358 Shared Program - City
3360 Shared Program - State
3361 State Grant
3365 State RISE Grant
3368 EPA Grant
3377 EDA Grant
3720 Donations - Restricted
3750 Sale of Bonds
EXPENDITURES:
To be assigned by the Finance Dept.
Project No.
Subproject No.
(Each column should only include amounts by fund)
Fund:
291 Fund: Fund: Fund:
Total
123,103.00 123,103.00
TOTALS $ 123,103.00 $ $ $ - $ 123,103.00
2103 Engineering & Consulting
2125 Traffic Control Equipment
2140 Land Acquisition
2144 Land Improvements
2146 Demolitions
2151 Building Construction
2156 Bikeway Construction
2162 Storm Sewers
2163 Sanitary Sewers
2164 Sidewalks
2165 Streets & Roadways
2199 Non -participating Misc
2169 Airport Improvements
123,103.00 123,103.00
TOTALS $ 123,103.00 $ $ $ $ 123,103.00
1-Signed by:
Steven Kjergaard 9/16/2025 732;41.,aX Woo et 10/6/2025
"U�5bt1 4FUAb ISA
(Signature Dept. Head) Date (Signature rinance Dept. Review) Date
K:\shared goodies\forms\Project Budget Wkshts_IDOT Vert Infr FY26.xls\Page 2 (Constr Proj) (Mar 2010)