HomeMy WebLinkAboutStreet_Department_(Brine_Machine_Parts)_2875.21Docusign Envelope ID: 55455523-7DFA-4A5E-8D97-DDAB9955ABF8
City Clerk Use Only
Finance Committee
Approval Date 1/05/2026
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 Street Department to expend
$ 2,875.21 plus est. shipping costs of $ 500.00 to pay for or purchase
Brine machine parts.
This purchase or expenditure is being made because:
Brine machine parts have failed and need to be replaced.
Vendor selected for this purchase:
Henderson Products (Manchester)
Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Vendor specific.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
11 General Fund
nBonds
III Road Use Tax n Sewer Sanitation
riFederal/other grants
Other (specify)
This expenditure is to be coded to the following budget line -item:
266-19-7200 1571
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Signed by:
$ 175,000.00
$ 156,208.00
Sheila Steffen " °Z° � �°°d 1 /,5/2026
(Signature Dept. Head or Designee) Date ViattlfeTiffance Dept. Review) Date
K:lshared goodies \formsIExpenditure Pre-Authorization.xis (Mar 2010)
Docusign Envelope ID: 55455523-7DFA-4A5E-8D97-DDAB9955ABF8
Henderson
CUSTOMER: --Select a customer --
CONTACT:
ADDRESS:
HENDERSON
PRODUCTS, INC.
1085 SOUTH THIRD STREET
MANCHESTER, IA 52057-0040
PHONE: 563-927-2828
SHIP TO: --Select a shipping address ----
CONTACT:
ADDRESS:
QUOTE ID:
QUOTE DATE:
VALID UNTIL:
SOURCEWELL # :
HENDERSON CONTRACT #:
SALESPERSON:
PHONE:
FAX:
EMAIL:
SALES QUOTATION
194079-9
12/8/2025
1/7/2026
Bianca Crull
563-927-2828
563-927-2521
bcrull@hendersonproducts.com
D -s
LIST PRICE NET PRICE EACFI
4F
1
1
144988
144987
HMI,5.7",PRO OR TF,SCREEN ONLY
SCHNEIDER HMIS85
HMI,CONTROL,BX,IO ONLY,PRO PLC
SCHNEIDER HMISBC
QUOTE DISCOUNT: 15%
* FREIGHT TERMS
* Freight Charges will be Pre -Paid by the
Shipper and added to your Invoice.
* If freight charges are shown they are
a GOOD FAITH estimate only.
* Placing an order constitutes agreement
to be responsible for actual freight
charges at time of Shipment Plus or
Minus Estimate.
QUOTE DESCRIPTION:
City of Waterloo - 700692
$1,416.03
$1,966.56
$1,203.63
$1,671.58
$1,203.63
$1,671.58
QUOTED PRICE DOES NOT INCLUDE SHIPPING CHARGES
Quote Total:
Freight Estimate:
Total Estimate:
$2,875.21
$0.00
$2,875.21