HomeMy WebLinkAboutSewer_(Plug_Rental)K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date ________________
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 Department to expend
$plus est. shipping costs of $to pay for or purchase
This purchase or expenditure is being made because:
Vendor selected for this purchase:
Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
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 Sanitation
Bonds Federal/other grants
This expenditure is to be coded to the following budget line-item:
in which the budgeted amount is $
and the current available balance is $
Respectfully submitted,
(Signature Dept. Head or Designee)Date (Signature Finance Dept. Review)Date
Other (specify)
(Project Code)(Fund - Department - Activity - Account Number)
Sewer (Plug Rental)
3,075.00
Rental plug with RV & sleeve; First Plug Rentals burst and needed replaced
Rental Period: 08/07/26 - 08/28/26
1,500.00
Rental equipment to block sewage for FY2026 Emergency Eastside Interceptor Project at
Dead End of Nevada Street (see attached memo)
United Rentals
Sole Proprietor
520-14-5320 1384
343,143.00
104,468.33
Jesse Gaherty 9/3/26
Docusign Envelope ID: 62A720CC-7767-8F24-8295-2A3F5CFD7D51
9/21/26
9/21/26