HomeMy WebLinkAboutPA_Fire_(Ambulance)Docusign Envelope ID: 648BDF0E-8170-4E0E-9F88-CD934D3CA24B
City Clerk Use Only
Finance Committee
Approval Date 12/1/2025
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
$ 301,401.00 plus est. shipping costs of $ 0.00 to pay for or purchase
One (1) 2025 Ford F-550, 171" Body Superliner Type I Ambulance through the HGACBuy
Cooperative Program.
This purchase or expenditure is being made because:
This purchase will replace a 2010 Freightliner ambulance that is in very poor condition.
Vendor selected for this purchase:
Lifeline Emergency Vehicles
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
HGACBuy Purchasing Cooperative was utilized.
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:
323-12-1410-2117 & 324-12-1410-2117
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Bill Beck 11/21/2025
p-Signed by:
$ 609,593.50
$ 609,593.50
12/1/2025
(Signature Dept. Head or Designee)
Date ure finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)