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Home My WebLink AboutCouncil Packet - 1/9/2017FINANCE COMMITTEE January 9, 2017 5:10 PM Harold E. Getty Council Chambers Members Chairperson Ron Welper Vice Chairperson Bruce Jacobs Tom Powers Roll Call: Approval of Agenda Approval of Minutes Minutes of January 3, 2017, as proposed. NEW BUSINESS TRAVEL REQUESTS 1. Steven Hoambrecker, Director Waste Management Services Class/Meeting: 2017 Iowa Water Environment Association Destination: Ankeny, Lk Dates: Jan 31 - Feb 1, Amount not to exceed: $335.00 2017 2. Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 3'1 Street. 3. Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. 4. Refund request in the amount of $62.00 for extended yard waste fees in error for property located at 211 Auburn Street. 5. Pre -Authorizations to Expend over $1,000.00 Airport Amount and Estimated S/H: $7,565.80 Expenditure: Replacement of damaged perimeter gate. Building Maintenance Amount and Estimated S/H: $1,850.00 (AMENDED) Expenditure: Amended amount to cover additional plumbing work needed when replacing deteriorated sanitary lines in the Police Evidence Building. Total contract $12,650.00 Police Department Amount and Estimated S/H: $2,000.00 Expenditure: Three (3) separate training classes for Police Officers in Courtroom Demeanor and Testimony. Page 1 of 288 Sewer Department Amount and Estimated S/H: $1,600.00 Expenditure: GraniteNet Office software license and support plan for Engineering Department support. Sewer Department Amount and Estimated S/H: $3,131.00 + $72 S/H Expenditure: Rebuild kits with Lobe kit and Seal kit for primary sludge pump. Sewer Department Amount and Estimated S/H: $2,668.75 + $300 S/H Expenditure: York replacement coil for Administration Building #2 AHU. BUDGET LINE ITEMS TO BE AMENDED 6. Approve the project budget amendment to use $7,565.80 in damage claim revenue to repair the gate at the airport damaged by farm equipment, as submitted by the Airport. 7. Approve the project budget for the Leversee Area Civil Engineering and Design project in the amount of $188,700, funded with Tax increment Financing funds, as submitted by the Planning & Zoning Department. 8. Approve the project budget for the Library General donations project funded with an initial donation of $11,466.79, anticipated to be used for building improvements, as submitted by the Library. 9. Approve the project budget for the 120 Center Street Hazardous Materials Inspection project, funded with an $18,000 grant from the Iowa Department of Natural Resources, as submitted by the Planning & Zoning Department. BILLS PAYMENT 10. January 9, 2017 ADJOURNMENT Kelley Felchle City Clerk Page 2 of 288 CITY OF WATERLOO Council Communication Minutes of January 3, 2017, as proposed. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Clerk Office lltiglhy, Nancy Approved l/11/20 "/ 3:06 PM ATTACHMENTS: Description Type DI Minutes or y 3, 20 "/ ➢::t cns.�u atern Page 3 of 288 Harold E. Getty Council Chambers Members present: Chairperson Welper and Morrissey. Absent: Jacobs and Powers. Moved by Morrissey, seconded by Welper, that the Agenda, as proposed, be approved. Ayes: Two. Motion carried. Moved by Morrissey, seconded by Welper, that the Minutes of December 19, 2016, as proposed, be approved. Ayes: Two. Motion carried. Moved by Morrissey, seconded by Welper that the following travel requests, be approved. Travel Requests Name & Title of Personnel Class/Meeting Destination Date(s) Amount not to Exceed P.O. Bush Midwest Counter Drug Training Center Highway Drug Investigations for Patrol Johnston, IA January 18-20, 2017 $155.00 Steve Isenhower, ICT Acting Foreman and John Hyman, ICT Programmable Controllers using RSLOGIX Software Cedar Rapids, IA January 30, 2017 $810.00 Matthew Chesmore Lead Inspector/Risk Assessor Recertification Training Des Moines, IA February 2-3, 2017 $650.00 Ayes: Two. Motion carried. Moved by Morrissey, seconded by Welper, that the request for the following pre -authorizations to expend over $1,000.00, be approved. Pre -Authorizations to Expend over $1,000.00 Dept. Amou5/ Est. Expenditure Fire Department $7,995.00 ESO Solutions Software subscription (09/01/16 - 08/31/17). Human Resources $9,275.00 City of Waterloo Employee Wellness Plan expenses, as approved by Council on 2/8/16. Planning & Zoning $5,753.50 Cover contaminated soil with plastic and removal of tank cars at the Chamberlain site. Police $2,400.00 + $100 S/H Replace the power inverter in surveillance vehicle. Mr. Amos questioned tanks being removed at the Chamberlain site in 2013. Noel Anderson, Community Planning and Development Director, explained the tanks were removed by the contractor at the direction of city staff, the contractor will be paid for those services and the city will seek reimbursement for that expense through the EPA. Ayes: Two. Motion carried. Moved by Welper, seconded by Morrissey that Bills Payment, as contained in Accounts Payable gni ti,'z lnn Welper. Mr. Welper abstained on an $80.00 payment for gas reimbursement for his travel to Des Moines. Motion carried. Approval of $80.00 payment for reimbursement expense failed. With no further business before the committee, it was moved by Morrissey, seconded by Welper that the meeting be adjourned at 5:17 p.m. Ayes: Two. Motion carried. LeAnn M. Even Deputy City Clerk CITY OF WATERLOO Council Communication Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 3rd Street. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Clerk. Office llIntlhy; Nancy ATTACHMENTS: Description DI 18410 W. 3rd Street SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Action Approved Type Date •/1./2017 3:I3 PM Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 31'Street. Submitted By: Property owner is requesting reimbursement of garbage fees paid for services not provided. This residence has a private hauler (see attached). The Water Works has provided appropriate documentation to support a refund of $71.05. Page 6of288 CITY OF WATERLOO Committee Communication Finance Committee Meeting; 01/09/2017 Prepared: Nancy Higby Dept. Head Signature; Kelley Felchle # of Attachments: SUBJECT: Refunds Submitted by: Kelley Felchie, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 3`d Street. Summary Statement: Property owner is requesting reimbursement of garbage fees paid for services not provided. This residence has a private hauler (see attached). The Water Works has provided appropriate documentation to support a refund of $71.05. Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND 525-15-5400-1785 Alternative: Not give the reimbursement. Background. Information: Recommendation for reimbursements arc only made after Waterloo Water Works, Sanitation, and Waste Management Services have been contacted to verify the information given by the individual. r'frll rlf1 9 Id' hp d `t 14' ruHrr cr{,.' ffutu lri r,f.:'ryiII IIlulut,uVt I + tnnut il:'a,Hinrn,ni�tiiir}n [uF,.� Hlu�� iiEM:4a1 r- 1 IH iv vvv ,iovrivrv1l vvlivvvIv.i lt Page 7 of 288 \ L-0 (1),,, Li- C.) u» Page 8 of 288 ,<LOO WAT „mia444M(1 6114 MUM ,amore Street „rox 27 erloo, IA 50704 „43144ivitlIPRANNIMIIIIIIINIVOIL1033,15101 1110.4dAuMlInPMmirol" ,A0.46 110 infting oloompuouniumponommgm ilopme7 PIN or L 111111111111110401111111111111111111 15111111111111111111101111 10000011111111111111111111111111111111111111111111' Quarterly 8/30,12016- - V)/0 R KS 4, 4 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 2 of 2 Customer Name: Account Number: Service Address: Hurtado Richard M 112995:505632 Waterloo Water Works Servic Sales ..... .....„2.50 Water Works Subtotal........,......... ..... _838.20 City:of'WaterToo Services.' . Sanitary Sewer..........„. ..... .,........,....85.50 Storm Water................................16,50 Garbage..., .. . ... ...... ...........31.50 City of Waterloo "fr,00 vloppoly,64orlour. '17.4"110,1:i7r 4119r1Fd ,„„„„IND 91 hvhfio 1016.44,1,ili,r,M4,111'n I Billing Frequency: Billing Date: Billing Due Date: ArogialwirE4) , gilrairrallEMENE111 NEIMaitwhiwANI.gmiokaM AMMWEMENNOMM.MEMAJUE Previous .. .. .„174.14 Credits/Payments.„.....,....... ........ . Deposit Payment............,............ ..... Balance Forward..„............., .... .. .. Water Works Subtotal.. .. .... City of Waterloo Subtotal .....................133.50 Total Current Service Charges .................171.70 _Total Amount Du ......... . AmolinT-MU—Atter uu/ZTTZUTS.. -- ',.'111111111i u),O,1,1,1:1:1:1:1:1,14b)44,46101104,411,64141uumumung IVMEMMTINUU"'"r" 111411;144 at ...E. MOUirer7 .M9716:111i. 15 ""„llill;;Irppf-cip;e11 20 15 10 4ti Please detach and return bottom portion with your payment. See reverse side for additional information. AinI114.711i,„„ii,,(1:1:1,111113612,MINEM WATERLOO WAT ;„,,,i„, Account Number: Total Amount Due: VI/ 0 Rl<3 Amount Due After 09/21/2016: P.O. Box 27 Waterloo, IA 50704 1;1 RSSEiol 0.000010000-71,,,,,,,000000,0010; 000000000101'......u. ADDRESS SERVICE REQUESTED 1 1 iii111111111111.11101111111•111111111111111111111111111111111111 HURTADO RICHARD M 1838 W 3RD ST APT B WATERLOO, IA 50701-2818 0 GPO, (T, a.j Please check box if your contact information requires updating and indicate the change(s) on reverse side. Billing Due Date: Amount Enclosed: 112995-505632 $171.70 $180.18 9/21/2016 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 9/21/2016 iii0,000,111,111„„„,0000 100, 11ooD000001000000000000fillioolortimiur 11111111111'i Ii11111111:11111:11111111111:11.1111111.11,11.......1..I...F'Dirnir 1111 It WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 11191111111111111111111111111111111111111"1111111111111111111 Page 9 of 288 ERLOO WATER WORKS Sycamore Street J. Box 27 Naterloo, IA 50704 :ustomer Name: account Number: iervice Address: vi000000000001li1ioilio0000iioovoio Hurtado Richard M 1129957505632 1840 W 3RD_ST, STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 2 of 2 pooloolooloomoolov),v,v1vIvill[pilyly 1111111111111111[1?::::::[:::::11::::::!:[:::::::[::,:,,,,,,;EHHEI:1::,,,,:,,,,,E111111111111111101000011011011000111111r11111111111:111111111111111''''' 01000DVDV000010010M110MIll' ,:nu1111 rlu f11.111111111,,,,,,,,,,,,V11..11111111100000000001000000001000011111111111111000010000011111111111,1)„1,11 Waterloo Water Works Services Sales ..... . Water Works Subtotal...... ...... ..............$32.59 City of Waterloo Services Sanitary ..... ..85.5O Storm Water Fee.„...........„................16.50 City of Waterloo Subtotal.. ...... ............$141.55 Billing Frequency: Billing Date: Billing Due Date: Quarterly 5/27/2016 6/20/2016 10,1q12311,22212nOM2001mm, IV 1111110111 0000000000000111VVIIViiiii1111 Previous Balance... ..... . . . ............140.20 Credits/Payments...„,........................140.20 CR Deposit Payment..... ....... . ... Balance Forward.......„......... ....... ..... $0.00 Water Works City of Waterloo Total Current Service Charges.................174.14 Total Amount Due.... ....... ....... Amount Due After 06/20/2016 2/18/2016 5/18/2016 .11111grimmripl.,41,,,plor R1i,t,',11,1111111111111111111,11011111111N14,4, kil1111M!11, III`Ttr ,11111,11[101'1141..1",,,l,„, Actual 14.1111, 11,1011INIRoill 2101 15-71 10- 5- 0 2 Please detach and return bottom portion with your payment. See reverse side for additional information. 100001101000=1,0, " E1L5 1101111,1 101110 WATERLOO WAT P.O. Box 27 Waterloo, IA 50704 1111111111 II III op, L 0 II A 0) ORKS EIl IN100000001 1001111101, 000,11,11 ADDRESS SERVICE REQUESTED 1 1 11111111111111111111Illall'Ildlilli1ild11111111111111111111111 HURTADO RICHARD M -6'11•21'*2 1838 W 3RD ST APT B WATERLOO, 1A50701-2818 (-01 Please check box if your contact information requires IN updating and indicate the change(s) on reverse side. Account Number: Total Amount Due. Amount Due After 06/20/2016: Billing Due Date. 6/70/2016 Amount Enclosed: Autopay -- Do Not Pay 112995-505632 $182.75 Tota l Amount Due will be withdrawn from you bank account on6/20/2016 som '11111'''11 '11'1° 1111!1\'1111' 111'1:111111 1'111' 1111q1'11111111'11r :11111 11 lIVIlhiv111717 l'"""Illfillll'illil.1111111'1'01'1114111'1,1111:01;„111.1:llitriu11111111111101011,1:ItIo WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111141111111"1911I11110111'hIPIP1011111"11"1110111111 Page 10 of 288 Exemption year: h) Le( PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date Applicant's Name: Billing Addressi• Address of Exemption: i 98 W7-, id/76 17-A Water Works Account No.: c hme r� Telephone 3) 7 7(2. No. Ff( a I request an exemption from Garbage Fees during the current Calendar employ the services of a licensed trash hauler. Only the locationrh:r:th, trash hauler picks up garbage and trash will qualify fox the exemptol ' Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: . (We) /1/c:.„6..•_v..-/,,W.4.-7e hereby declare Company N,.41.me a licensed trash hauler in the City of:Waterloo, Iowa, and that garbage and refuse at the followingHlocatiOn: that we are Beginning Address -Location of Date of customer's Name Garbage/Trash pick aLtp Contract CONTRACT PERIOD MUST COVER A LEAST We understand that the above information is we pick up Ending Date of contract CURRENT CALENDAR YEAR uaedby the Clerk's Office in Page 11 of 288 CITY OF WATERLOO Council Communication Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Clerk. Office Fligby, Nancy ATTACHMENTS: Description D 3218 Kipling Rd. SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Action Approved Type Date 1 /1./2017 3:11 PM Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. Submitted By: Property owner is requesting reimbursement of garbage fees paid for services not. This residence is located in a mobile home park, which is exempt from city garbage billing. The Water Works has provided appropriate documentation to support a refund of $521.38. Page 12 of 288 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 01/0 9/2017 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle # of Attachments; SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended. Committee Action: Approval of the foliowing refunds: Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. Summary Statement: Property owner is requesting reimbursement of garbage fees paid for services not:T� Iiia residence is located in a mobile home park, which is exempt from city garbage billing. Th Water Works has provided appropriate documentation to support a refund of $521.38. Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND 525-15-5400-1785 Alternative: Not give the reimbursement. Background Information: Recommendation for reimbursements are only made after Waterloo Water Works, Sanitation, and Waste Management Services have been contacted to verify the information given by the individual. u�:IlY41Ur;.N u•_a l l?1'4 `t tin ,01111.11.11H1 Page 13V! l Nancy Higby From: KELLEY FELCHLE Sent: Thursday, December 01, 2016 6:41 AM To: Nancy Higby Subject: Fwd: Refund -billing error Attachments: 2115_001.pdf Follow Up Flag: Follow up Flag Status: Flagged Hi Nancy, Could you please take a look at the email below from Water Works? Kelley Felchle City Clerk City of Waterloo 715 Mulberry Street Waterloo, IA 50703 319-291-4323 Forwarded message From: "MARY RATKOVICH" <MARY. RATKOVICH cr WATERLOO-IA.ORG> Date: Fri, Nov 4, 2016 at 9:37 AM -0500 Subject: Refund -billing error To: "KELLEY FELCI ILE" <KELLEY.FELCHLE cr WATi ERLOO-IA.ORG> Cc: "Amber Stephens" <Amber.Stephens@WATERLOO-IA.ORG>, "Annette Shepherd" <Annette. Shepherd( W ATERLOO-IA. ORG> Good morning Kelley, Re: Brandi Hubert, 3218 Kipling Rd, 54355 erloo, IA 50701 Account #'s: 128493-520988 & 46 -50 -6325 - I'm writing to you to request a refund on behalf of one of our customers since it was our billing error that is in question. Customer Brandi Hubert resides at 3218 Kipling Rd in a mobile home park. Mobile home parks are exempt from city garbage billing. The Waterloo Water Works originally set up Brandi's account in error resulting in the billing of city garbage feet shricf the year 2012. All of the billing documents are attached for your review. We are requesting that a total/ 5521.18 be efunded to Ms. Hubert. If you have any questions, please let me know. Mary Ratkovich-Office Manager Waterloo Water Works 319-232-6280 ext 3903 1 Page 14 of 288 WATERLOO W AT :.... W O R K5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: Account Number: Service Address: Hubert Brandi M 128493-520988 3218 KIPLING RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/11/2016 08/01/2016 Waterloo Water Works Services Water $25.20 Sales Tax $1.77 Late Penalty $5.39 Water Works Subtotal $32.36 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8,25 Garbage $31.50 City of Waterloo Subtotal $82.50 Previous Balance.. Credits/Payments Balance Forward $109.47 -$114.86 -$5.39 Water Works Subtotal $32.36 City of Waterloo Subtotal $82.50 Total Current Service Charges $114.86 Total Amount Due $109.47 Amount Due After 08/01/2016 $114.86 13r.evious Read Ciate Currnt Read bate, Mous, Rea" -eviou.s.ReadTYPe WCurreneRva Current Read Type age (CCF) 03/23/2016 06/21/2016 871 Actual 871 Actual 0 09 tih 00 Og '�'1' ay OW SPEcIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional Information ��ICR� iCSr,RA�ABI WATERLOO WA L, WORKS P.O. Box 27 Waterloo, lowa 50704 Phone: (319)232-6280 A6DRESSEE1 Hubert Brandi M 3218 Kipling Rd Waterloo, IA 507019131 0 Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 128493-520988 Total Amount Due: 109 4:7 Amount Due After : 114.86 Billing Due Date 08/01/2016 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Page 15 of 288 WATERLOO WAT a WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 ustomer Name: Account Number: entice Address: Hubert Brandi M 128493-520988 3218 KIPLING RD STATEMENT OF SERVICES Waterloo Water Works Services Water $25.20 Sales Tax $1.77 Late Penalty $5.39 Water Works Subtotal $32,36 City of Waterloo Services Sanitary Sewer $42,75 Storm Water Fee $8,25 Garbage $31,50 City of Waterloo Subtotal $82.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/08/2016 04/29/2016 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 titrAROKSOMMABYalt Previous Balance Credits/Payments Balance Forward $109.47 -$114.86 -$5,39 Water Works Subtotal $32,36 City of Waterloo Subtotal $82.50 Total Current Service Charges $114.86 Total Amount Due $109.47 Amount Due After 04/29/2016 $114.86 Previous.RedDat p Crr l e',acd_Da i Pr pu ead Previous Read e Current ea Curreht Read Usage (CCF) 12/23/2015 03/23/2016 871 Auto Estimate 871 Auto Estimate 0 tPEC SSAGES lease detach and return the bottom portion with your payment. See reverse side for additional information MAKE. CfigCliSTAYA4E.10.7... WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Hubert Brandi M 3218 Kipling Rd Waterloo, IA 507019131 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 128493-520988 Total Amount Due; '; 109 47 Amount Due After : 114.86 Billing Due Dates 04/29/2016 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Page 16 of 288 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Hubert Brandi M 128493-520988 3218 KIPLING RD STATEMENT OF SERVICES Waterloo Water Works Services Water $25.20 Sales Tax $1.77 Water Works Subtotal $26.97 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbage $31.50 City of Waterloo Subtotal $82.50 Billing Frequency: Billing Date: Billing Due Date: quarterly 01/14/2016 02/04/2016 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 tHARPE Previous Balance Credits/Payments $107,22 -$107.22 Water Works Subtotal $26.97 City of Waterloo Subtotal $82.50 Total Current Service Charges $109.47 Total Amount Due $109.47 Amount Due After 02/04/2016 $109.47 Previous Read Date Current Read Pate Previous Read" Pry! Read current Basi Current Read Type • (CCF) 09/24/2015 12/23/2015 871 Actual 871 Actual 0 PE AL E5SAG Please detach and return the bottom portion with your payment, See reverse side for additional information MAKE CHECKS:PAYABL; TO WATERLOO WA k WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 FAPPR:0§,Aggith Hubert Brandi M 3218 Kipling Rd Waterloo, IA 507019131 ❑ Please check box If contact information requires updating and Indicate the change(s) on reverse side Account Number: 128493-520988 Total Amount Due: 109.47 Amount Due After : 109.47 Billing Due Date: 02/04/2016 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 17 of 288 Brandi M Hubert Hubert Brandi M 3218 Kipling Rd Waterloo IA 50701-9131 10/16/2015 10/7/2015 10/7/2015 10/7/2015 10/7/2015 Previous Balance BEGINNING BALANCE Due Date: BEGINNING BALANCE Due Date: BEGINNING BALANCE Due Date: BEGINNING BALANCE Due Date: Statement Number Statement Date Customer ID: LocationTD: Service Address: 3218 KIPLING RD WATERLOO, IA 10/28/2015 10/28/2015 10/28/2015 10/28/2015 Amount Due: 8978 10/16/2015 520988 128493 $107.22 $0.00 $24.72 $42.75 $31.50 $8.25 Page 18 of 288 UUG6DFR DISPLAY 11/03/16 10:54:33 Display Account History Account No 46 50 6325 54355 Billing Date Customer HUBERT BRANDI M Ph 961-6158 Activity Address 3218 KIPLING RD WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Total St Cnd Date Payment Payment Payment Payment Payment 10/07/15 0 0 7/08/15 0 E 25.88- 44.89- 33.08- 8.66- 112.51- P RT 4/07/15 0 E 24.72- 37.50- 31.50= 8.25- 101.97- P 1/08/15 0 25.88- 39.38- 33.08-- 8.66- 107.00- P RT 10/07/14 12 28.60- 45.61- 33.08- 8.66- 115.95- P RT 7/08/14 17 37.06- 56,01- 33.08- 8.66- 134.81- P RT -. + F3=Exit F14=Mthly Bill F16=Acct Info F17=Bill F18=Bill/Pmt F19=Gust F20=Meter F21=Cust His F22=Bi11 His Page 19 of 288 UUG6DFR DISPLAY 11/03/16 10:54:33 Display Account History Account No 46 50 6325 54355 Billing Date Customer HUBERT BRANDI M Ph 961-6158 Activity Address 3218 KIPLING RD WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Total St Cnd Date Payment Payment Payment Payment Payment 4/07/14 21 43.82- 64.32- 33.08-° 8.66- 149.88- P RT 1/08/14 27 53.96- 60.17- 33.08- 8.66- 155.87- P RT 10/08/13 28 50.50- 60.17- 33.08- 8.66-- 152.41- P RT 7/08/13 20 38.27- 60.17- 33.08- 8.66- 140.18- P RT 4/05/13 19 36.69- 60.17- 33.36- 8.66- 138.88- P RT 1/08/13 25 45.90- 72.64- 32.80- 8.66- 160.00- P RT* F3=Exit F14=Mthly Bill F16=Acct Info F1.7=Bill F18=Bill/Prnt F19=Cust F20=Meter F21=Cult His F22=Bill His Page 20 of 288 UUG6DFR DISPLAY 11/03/16 10:54:33 Display Account History Account No 46 50 6325 54355 Billing Date Customer HUBERT BRANDI M Ph 961-6158 Activity Address 3218 KIPLING RD WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Total St Cnd Date Payment Payment Payment Payment Payment 10/08/12 27 46.17- 76.80- 33.08- 8.66- 164.71- P RT 7/09/12 1 F3=Exit F14=Mthly Bill F16=Acct Info F17=Bill F18=Bill/Pmt F19=Cost F20=Meter F21=Cost His F22=Bill His I Page 21 of 288 CITY OF WATERLOO Council Communication Refund request in the amount of $62.00 for extended yard waste fees in error for property located at 211 Auburn Street. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Clerk Office ll1nglhy; Nancy Approved D/1/2() / . 3: 6 ATTACHMENTS: Description Type DI 211 A:ulhurrt Street SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Refund request in the amount of $62.00 for extended yard waste fees in error for property located at 211 Auburn Street. Submitted By: Property owner is requesting reimbursement of extended yard waste fees paid when no service was provided. Both the Water Works and the Sanitation Department have provided appropriate documentation to support a refund of $62.00. Page 22 of 288 CITY OF WATERLOO Committee Communication Finance Committee Meeting: ©1/'0''t/2017 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle # of Attachments: SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of at 211 Auburn Street. 62.00 for extended yard waste fees in error for property located Summary Statement: Property owner is requesting reimbursement of extended yard waste fees paid when no service was provided. Both the Water Works and the Sanitation Department have provided appropriate documentation to support a refund of $62.00. "/ Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND 525-15-5400-1785 Alternative: Not give the reimbursement. Background Information: Recommendation for reimbursements are only made after Waterloo Water Works, Sanitation, and Waste Management Services have been contacted to verify the. information given by the individual. 111c.' I 17➢E ,hTl 111il,1 8111 'H11111I!1110111, ��11zll+ik1 YvMlill as1,/11,1 f '1'1111,1 Page 23,,. X88 Q„....._.I.:-.)).,6„(„L„,,,,, '1 1 ) ,..„,.,..,,.,.(iA,.., (( i11,) t.'......1),-„LA,....Q..A.4,.. 0-1,/,,,,,„,- i''.4Y1-1. ,,-- (-).,„„„„) ,--V-Q-A- ('''''')/-"L'1,-Q.,..' o L'A):-.)) '14- Jo I) ' ) / ? ../q1, -.0,.„:t ift,,,..., ./.,„.114,,,./vz„.,,,,, -(11...4„„„(() (14„,„),,A -...-:(:.',,,R,.") / ..„..../,(1,./.,......L.AL (!:,„„..,,,,,,Ti.t.„.,,,,,,,?...4..i fr,Le../,,„...„.„, ) „......?) „.f.„. (-i..._...4(,,-,i,,,,L:t. 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(7:7;2 / 14 LlL., "<) Page 24 of 288 UUG6DFR DISPLAY 11/3U/I6 9:b/:U1 Display Account History Account No 10 60 0220 15226 Billing Date Customer MCCOMBS PHILIP Ph 233-9 Address 211 AUBURN ST WATERLOO 5=Payments ? Billing Consu Water Sewer Date Payment Payment 9/04/15 19 42.56- 58.85- 6/05/15 3/05/15 12/05/14 9/05/14 6/05/14 16 16 18 30 15 37.20- 37.20- 37.01- 56.40- 32.16- 51.36- 51.36- 55.32- 55.32- 49.38- 35 Activity Garbage STORM Payment Payment 49.80- 8.25- 49.80- 49.80- 49.80- 49.80- 49.80- F3=Exit F14=Mthly Bill F16=Acct Info F17=Bi F20=Meter F21=Cust His F22=Bill His Last option was: DAILY OPERATIONS Total St Cnd Payment 159.46- P 8.25- 146.61- P 8.25- 146.61- P 8.25- 150.38- P 8.25- 169.77- P 8.25- 139.59- P F18=Bill/Pmt F19=Cust F.7 tk cit coo Page 25 of 288 110100 WATERLOO A`[ _.. ..-.a•..�,�ww,�smrewtuwpd�,4k'r(rrnN�a ww�+�waC'wu��l�4N�ww 325 Sycamore Street P.O. Box 27 Waterloo,Iowa 50704 ustomer Name: Account Number: Service Address: McCombs Philip 115301-506683 211 AUBURN ST RKS STATEMENT OF SERVICES "'""'"1;1?" wW Wiling Frequency: Billing Date: Billing Due Date: Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Quarterly 03/07/2016 03/28/2016 Waterloo Water Works Service Water ............... Sales Tax ............. Water Works Subtotal City of Waterloo Services Sanitary Sewer ....... Storm Water Fee ... , ... . Garbage................ Yard Waste ..... . . . Extended Yard Waste , ... . City of Waterloo Subtotal $33.95 $2,38 $36.33 $54.25 $8.25 $31.50 $9.00 $9.30 $112,30 Yt 111111111 1 )) tn) 11111111111111111111 1111111111111 Previous Balance ............................. Credits/Payments ............................ Water Works Subtotal . , , ... City of Waterloo Subtotal . , , . , .. , .. . Total Current Service Charges ... . ............ Total Amount Due ......................... Amount Due After 03/28/2016 . $158.22 -$158.22 $36.33 $11.2.30 $148.63 $148.63 $148.63 i),,,))2 P 11/24/2015 02/24/2016 0011 I 1wsv))))) 1111010 Izl'oloiro1001111 11011 '.1'1111 "001 111,11;110,41101 uu iolld 11,0 01111101 1,463 Actual 1,477 Actual 14 1 vu wuo iu.. 111111111 11 I ,... iii ) iidauu Please detach and return the bottom portion with your payment. See reverse side for additional information WATERLOO ol0000volloollOolor A P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ma McCombs Philip 211 Auburn St Waterloo, IA 507011809 Q Please check box if contact information requires updating and indic the change(s) on reverse side 0 CORKS 110 l2 Account Number: 115301-506683 Total, Arno 63 Amount Due After : 111rr Due Date: 148.63 03/28/2016 Amount Enclosed: Total Amount Due will be account on 03/28/2016 ithdrawn from your bank '1110"" 01111,0 ti 1111111111 1,1,11111100o 1000 WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 27 of 288 WATERLOO ° 325 Sycamore Stree P.O. Box 27 Waterloo. Iowa 50704 lii1100000000000001000000400:0 1110011:000041, Mil �ustome,Nome: Account Number: Serv|reAddreso: McCombs Philip 1I6301-586683 211 AUBURN ST �� ,,�'�� STATEMENT OF SERVICES Mlh �� Watedoo Water Works Services Water........„....^.....^..........`...^.^. Sales Tax . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . Water Works Subtotal ..,.........,...'....... Qty of Waterloo Services , . ,......... „ , . • ,Sanitary Sewer . . . . . . StormWater Fee .. . . . . .. . . . . . . . — . . . . . . . Garbage . . . . . . . . .. . . . YardWaste ... . . . . . . . . . ��.. . .. . . . .. Extended Yard Waste .........'....,,......... City of Waterloo Subtotal ......,..... $37.45 $2.63 $40.08 $54.25 $31.50 $9.00 $9.30 $11230 11111111Ra Billing Frequency: Quarterly Billing Date: 05/03/2016 Billing Due Date: 06/24/2016 Phone. (319) 232-6288 www.waterloowater.org 11111111111110E1M=1,1,V,IIIIR '"."11; 1111111111111111111 o000000000iimbR 000�� 11111111111111111111111111 1111111111111111111111111111111111111111111111111,,,,,, „„,� u"","1„,?„,„„,„,w:11111„1„1„1 Previous Balance __ _......._........—... Credits/Payments .........-..� _ , , , , Water Works Subtotal , .., , _ $148.63 City of Waterloo Subtota$112.30 Total CurrenService Charges .. . Total Amount Due .�.,......... $152.38 $152.38 $159.87 02/24/2016 05/26/2016 1,477 Actual 1,493 Actual 16 10010000.0.0000, Please detch and reurn the bottom portlon wth your payment. See reverse side for additional informaton WAT E. R|OO P.n.Box 77 Waterloo, Iowa 50704 Phone: (319) 232-6280 ORKS McCombs Philip 211 Auburn St Waterloo, IA 507011809 0 Please check box if contact informatiorequires updating and indicate the change(s) on reverse side Account Number: 115301-506583 TotalDue:�^ ��8 "MingAmount Due After : ~—�—Due ~^~.~ _- Amount Enclosed: 159.8/ 06/24/2016 Tota Amount Due will be withdrawn from your bank account on 06/24/2016 WATERLOC WATER WORKS P.Q.BOX 27 Page 28 of 288 WATERLOO W/\[ER KS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 11111:101Iiiii11101111111111 Customer Name: Account Number: Service Address: Phone: (319) 232-6280 www.waterloowater.org Pace 1 of 1 STATEMENT OF SERVICES .41111111111111111111111111[1111111111111111111.111.111111111111111111,1,1,11 1.1.1.13,f,""""""""""..."' 1111111111.1 11111111111111101111111M 0.........„31101,11,11111111110 iiiiiiiii111111100000000000111I1 )111111111111111111111111111111 McCombs Philip 115301-506683 211 AUBURN ST Waterloo Water Works Services Water .......... . _ — „ . „ „ Sales Tax Water Works Subtotal $4230 $2.99 $45.69 City of Waterloo Services Sanitary Sewer . — — — „ $54.25 Storm Water Fee — — $8.25 $31.50 Yard Waste . _ _ _ . ..... $9.00 Extended Yard Waste . „ „ „ . „ „ , . _ „ $9.30 City of Waterloo Subtotal „ , _ „ „ _ $112.30 11„„„„„ 11111iiIPI11,1111111111,11„.,.)).iiilitiii11111111111111,„ Billing Frequency: Quarterly Billing Date: 09/06/2016 Billing Due Date: 09/27/2016 .1.)4iii)v,111111,11:!1:1111:oriroll)miilloolurrinur11111111111:11:1111111111111111111111111111111111111111111111111111111011111111110t001Ii p Previous Balance ...... ......... „ , Credits/Payments . Water Works Subtotal „ ....... City of Waterloo Subtotal . , ......... _ . Total Current Service Charges ... , ........ Total Amount Due ...... ..... Amount Due After 09/27/2016 , 11- 9., • . ... r.. $15238 -$152,38 $45.69 $112,30 $157.99 $157.99 $165,75 PeePt,tsi'k04 ° 9P0' 01101111POrrot 0110,0 04t- 1.r? ov. 10.1.111.0 Pel‘lidus 05 26 2016 08/25/2016 1,493 Actual 32 26 IJ_ 8 16 v, 12 6 = 4 0 (-0'6 e). 01, p ie ,4!" 02,10 c13 1,512 Actual 19 1,11)1111.1.1,11. 11111',1111, tH 0,0111, ,'11111111,1110111011,1'111,:1'141iiiiii'l'IP:1,1,10„1,1,1h0p,p,„„,,„,„? 10,,,,,,0,0,11,10010,1,111,11,1000111,,n,000 11111111 . Please detach and return the bottom portion with your payment. See reverse side for additional information 11111111,1,11,00,0,,,„ 1111111iril 1.0110,111,,,,1111111,00,, ”1"),0,""',1101 0i0,60,0111111111111111 11110,1d,,,110 '10011 01, 04,1,1,„,y011,10.„1,011111,,,,,,,1,, WATERLOO WA P.O. Box 27 Waterloo, lowa 50704 Phone: (319) 232-6280 ORKS .111111.11,1run 11111111111111 „ 0 1 1 1 111 1,111,11,1111111,1,1,1,0„,11,1 1„1 1'1 1 1 1 n' „,1 1 ,11111.1,11U0,111 pri„„ 1,0111111111,11111111,11:!(4111,1)111,11/1, 01 4, 1111 111 :0 0, 10,0111 11' 111 11 McCombs Philip 211 Auburn St Waterloo, IA 507011809 El Please check box if contact Information requires updating and 'jndicate the changes) on reverse side Account Number: 115301-506683 Tote! Amount Due: . . . . . Amount Due After: 165.75 fd ling Due Date: 01011'" 1 1 00,1,1„ 1..., . 1 „I 1 I 11111 1 011,1 1,010 . . . .0 11 1 1 1 (-0'6 e). 01, p ie ,4!" 02,10 c13 1,512 Actual 19 1,11)1111.1.1,11. 11111',1111, tH 0,0111, ,'11111111,1110111011,1'111,:1'141iiiiii'l'IP:1,1,10„1,1,1h0p,p,„„,,„,„? 10,,,,,,0,0,11,10010,1,111,11,1000111,,n,000 11111111 . Please detach and return the bottom portion with your payment. See reverse side for additional information 11111111,1,11,00,0,,,„ 1111111iril 1.0110,111,,,,1111111,00,, ”1"),0,""',1101 0i0,60,0111111111111111 11110,1d,,,110 '10011 01, 04,1,1,„,y011,10.„1,011111,,,,,,,1,, WATERLOO WA P.O. Box 27 Waterloo, lowa 50704 Phone: (319) 232-6280 ORKS .111111.11,1run 11111111111111 „ 0 1 1 1 111 1,111,11,1111111,1,1,1,0„,11,1 1„1 1'1 1 1 1 n' „,1 1 ,11111.1,11U0,111 pri„„ 1,0111111111,11111111,11:!(4111,1)111,11/1, 01 4, 1111 111 :0 0, 10,0111 11' 111 11 McCombs Philip 211 Auburn St Waterloo, IA 507011809 El Please check box if contact Information requires updating and 'jndicate the changes) on reverse side Account Number: 115301-506683 Tote! Amount Due: 157.99 Amount Due After: 165.75 fd ling Due Date: 09/27/2016 Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 09/27/2016 11111111 „, 0000, 0 .1 10 1111 11 „, 1 1 101 1111 1 . ini111111,1 1 1 1 1 111, .1 1 1113,1111,1111 11101041111101110010„)11110101,10A11111 "1111 WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 29 of 288 CITY OF WATERLOO Council Communication Steven Hoambrecker, Director Waste Management Services City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Waste Management Rigby, Nancy Approved l/4/20l7 3:08 PM ATTACHMENTS: Description Type Department Requests Backip Material Page 30 of 288 TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 4/ BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 62:1,00 ,y4::: -,;24v Copy - Department NAME(S) AND POSITION(S): Steven Hoambrecker, Director Waste Management Svc DATE: January 4, 2017 NAME OF CLASS / MEETING: 2017 IAWEA Maintenance Conference 444 4461 494 c DESTINNTION: Ankeny, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: January 31, 2017 PURPOSE OF TRAVEL/TRAINING: Education, ..CEtis.- RETURN DATE: February 1, 2017 DATE(S) OF MEETING: Jan 31 -Feb 1, 2017 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: xx CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: /00.00 LODGING MEALS 200.00 REGISTRATION 35.00 MILEAGE/FUEL TOTAL FOR ALL: TAXI PARKING AIRFARE MISCITOLLS BUDGET LINE ITEM: :20 R-1/ ,`,„ e) 04/6 GRANT REIMBURSABLE YES NO REQUIRED CERTIFICATION YES NO . . TOTAL: $ 3:36 I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF W4TERLOO EP T E T -HEAD PER PERSON I APPROVE THIS TRAVEL REQUEST MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 Page 31 of 288 2017 IAWEA Maintenance Conference FFA Enrichment Center, DMACC Ankeny Campus January 31 - February 1, 2017 On -Line Registration @ w iawepLgrq. For Mall in Registration: Name: 5-'1-05Vkiki Employer: IA 4-sm i'L /L)V I Address: 3 -5" 0- n il City/State: /Ai cdstett u Zip: E -Mail: 51-evell Ito amh itckee- e W kt.e.e-tvo -1 01- - ej Daytime Phone: 7 ? Csk/ Registration Fees (check one) Full Conference Member $200 'A (by 1/20/17) $220 Full Conference Non-member$220 $240_ Tue or Wed Member $110 (circle which day) $125 Tue or Wed Non-member $125 (circle which dav) $140 (after 1/20/17) ____(by 1/20/17) (after 1/20/17) (by 1/20/17) _(after 1/20/17) (by 1/20/17) (after 1/20/17) SAVE $10 ON THESE PRICES BY REGISTERING ON-LINE Conference Fee from above $ ° 6 - Track A MCC option fee $ Total Due $ Iowa Only membership in IAWEA is available at a.or2 for only $30/yr and qualifies you for the member rates above. Check below if you wish to register for the Track A Motor Control Center Class. Please note that there is a $70,0c) extra fee and limited space for this class and online registrants are given first priority. In past years online registrants have taken all available spots. Wednesday Track A Motor Control Center Class Pre -Register if possible. Some classes have limited enrollment, Registration for these classes will be on a First - Paid Basis Only ND On-line registrations will receive priority. Please make checks payable to IAWEA. Send to: IAWEA Maintenance Conference, Attn: Cindy Calentine, WPC Plant, 56797 280th St., Ames, IA 50010 If you have additional questions, call Cindy at 515-232-7423 or ccatei1necarnesiaus_ CEUs available for: Water Distribution (WD), Water Treatment (WT) and Wastewater Treatment (WWT) Page 32 of 288 2017 20th ANNUAL MAINTENANCE CONFERENCE for Water and Wastewater Operators and Maintenance Professionals January 31 - February 1, 2017 IAWEAIDMACC IDNR Course # Tuesday - January 31, 2017 8:00 — 8:45 am REGISTRATION - Doughnuts/Coffee/Juice — Atrium — FFA Center 8:45 — 9:00 am GENERAL SESSION (FFA Large Banquet Rm) - Welcome/Announcements/Awards 9:00 — 9:50 am Putting Unmanned Aerial Vehicles to Work (FFA Large Banquet Rm) 9:50 — 10:10 am Break 10:10 —11:00 am Hoop Buildings (FFA Large Banquet Rm) 11:00 — 11:50 am Tools of the Trade (FFA Large Banquet Rm) Noon — 12:45 pm LUNCH (FFA Center Atrium) 12:45 — 1:35 pm Transient Analysis (FFA Large Banquet Rm) 1:35 —1:50 pm Break 1:50 — 2:40 pm Grease Selection (FFA Large Banquet Rm) 2:40 — 3:30 pm Maintenance Program for Rotating Assemblies (FFA Large Banquet Rm) Page 33 of 288 2017 20th ANNUAL MAINTENANCE CONFERENCE for Water and Wastewater Operators and Maintenance Professionals January 31 — February 1, 2017 1AWEA1DMACC IDNR Course # Wednesday — February 1, 2017 7:45 — 8:30 am REGISTRATION - Doughnuts/Coffee/Juice -. Atrium -- FFA Center 8:30 — 11:20 am MORNING BREAKOUT SESSION Track A Motor Control Centers Track B (FFA Classroom) 8:30 — 9:20 am Instrument Maintenance 9:20 — 10:10 am Air Monitoring Equipment 10:10 —10:30 am Break 10:30 —11:20 am Motor, VFD, & Soft Start Selection 11:20 — 12:00 pm LUNCH (FFA Conference Center) — Jethro's 12:00 — 3:00 pm AFTERNOON BREAKOUT SESSION Track A Motor Control Centers (cont.) Track B (FFA Classroom) 12:00 — 12:50 pm Valve Selection & Applications 12:50 — 1:10 pm Break 1:10 — 2:00 pm Maintenance of Air & Vacuum Valves 2:00 — 2:50 pm Safety & Ergonomics 2:50 — 3:00 pm Wrap up and Comments Page 34 of 288 CITY OF WATERLOO Council Communication Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 3rd Street. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Clerk. Office llIntlhy; Nancy ATTACHMENTS: Description DI 18410 W. 3rd Street SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Action Approved Type Date •/1./2017 3:I3 PM Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 31'Street. Submitted By: Property owner is requesting reimbursement of garbage fees paid for services not provided. This residence has a private hauler (see attached). The Water Works has provided appropriate documentation to support a refund of $71.05. Page 35 of 288 CITY OF WATERLOO Committee Communication Finance Committee Meeting; 01/09/2017 Prepared: Nancy Higby Dept. Head Signature; Kelley Felchle # of Attachments: SUBJECT: Refunds Submitted by: Kelley Felchie, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $71.05 for garbage fees billed in error for property located at 1840 W. 3`d Street. Summary Statement: Property owner is requesting reimbursement of garbage fees paid for services not provided. This residence has a private hauler (see attached). The Water Works has provided appropriate documentation to support a refund of $71.05. Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND 525-15-5400-1785 Alternative: Not give the reimbursement. Background. Information: Recommendation for reimbursements arc only made after Waterloo Water Works, Sanitation, and Waste Management Services have been contacted to verify the information given by the individual. r'frll rlf1 9 Id' hp d `t 14' ruHrr cr{,.' ffutu lri r,f.:'ryiII IIlulut,uVt I + tnnut il:'a,Hinrn,ni�tiiir}n [uF,.� Hlu�� iiEM:4a1 r- 1 IH iv vvv ,iovrivrv1l vvlivvvIv.i lt Page 36 of 288 \ L-0 (1),,, Li- C.) u» C Page 37 of 288 ,<LOO WAT ,rniadiM(1 611% NAci'; MUM ,amore Street „rox 27 erloo, IA 50704 1110.4dAuM,InPMmrol" 110 inA139 oloompuouniumponoson ilopme7 PIN or 1111111111111104,1111111111111111111 ,,,,,owinagympappo, olk"",r,7 1511111111111111111111101111 1000001111111111111111111111111111111111111111111,' Quarterly 8/30,12016- - V)/0 R KS STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 2 of 2 Customer Name: Account Number: Service Address: Hurtado Richard M 112995:505632 Waterloo Water Works Servic Sales ..... .....„2.50 Water Works Subtotal........,......... ..... _838.20 City,,of'WaterToo Services.' . Sanitary Sewer..........„. ..... .,........,....85.50 Storm Water................................16,50 Garbage..., .. . ... ...... ...........31.50 City of Waterloo "fr,00 vloppoly,64orlour. '17.4"110,1:i7r 4119r1Fd ,„„„„IND 91 hvhfio Billing Frequency: Billing Date: Billing Due Date: 'ilfilii101103000000000111000000111Illi ArogialwirE4) , gilrairrallEMENE111 NEIMaitwhiwANI.gmiokaM AMMWEMENNOMM.MEMAJUE Previous .. .. .„174.14 Credits/Payments.„.....,....... ........ . Deposit Payment............,............ ..... Balance Forward..„............., .... .. .. Water Works Subtotal.. .. .... City of Waterloo Subtotal .....................133.50 Total Current Service Charges .................171.70 _Total Amount Du ......... . AmolinT-MU—Atter uu/ZTTZUTS.. -- ',.'111111111i u),O,1,1,1:1:1:1:1:1,1,1,Cq,,,,,,,610111104,11,6,64uumumung IVMEMMTINUM,l'r" 11111111;10. MOUirer7 .M971a711i. 15 n'"'"nnoodl, IIIl 20 15 10 4ti Please detach and return bottom portion with your payment. See reverse side for additional information. I1* u1 WATERLOO WAT ;„L,,u,„ Account Number: Total Amount Due: VI/ 0 Rl<3 Amount Due After 09/21/2016: P.O. Box 27 Waterloo, IA 50704 11 1! 1111111111111SSEiol 0.000010000-70,10,00,00.0000,0010; 0011110111111111111'.....0,91,1, ADDRESS SERVICE REQUESTED 1 1 iii111111111111.1110111114•111111111111111111111111111111111111 HURTADO RICHARD M 1838 W 3RD ST APT B WATERLOO, IA 50701-2818 0 GPO, (T, a.j Please check box if your contact information requires updating and indicate the change(s) on reverse side. Billing Due Date: Amount Enclosed: 112995-505632 $171.70 $180.18 9/21/2016 Autopay -- Do Not Pay Total Amount Due will be withdrawn from you bank account on 9/21/2016 iii0,000,111,1„„„,0000 100, 11i000vomolo000000000000111111001410iur Ii11111111:11111:11111111111:11.1111111.11,11.......1..I...F'Dirnir 1111 It WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 11191111111111111111111111111111111111111"1111111111111111111 Page 38 of 288 ERLOO WATER WORKS Sycamore Street J. Box 27 Naterloo, IA 50704 :ustomer Name: account Number: iervice Address: vi000000000001li1ioilio0000iioovoio Hurtado Richard M 1129957505632 1840 W 3RD_ST, STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Statement 2 of 2 pooloolooloomoolov),v,v1vIvill[pilyly 1111111111111111[1?::::::[:::::11::::::!:[:::::::[::,:,,,,,,;EHHEI:1::,,,,:,,,,,E111111111111111101000011011011000111111r11111111111:111111111111111''''' 01000DVDV000010010M110MIll' ,:nu1111 rlu f11.111111111,,,,,,,,,,,,V11..11111111100000000001000000001000011111111111111000010000011111111111,1)„1,11 Waterloo Water Works Services Sales ..... . Water Works Subtotal...... ...... ..............$32.59 City of Waterloo Services Sanitary ..... ..85.5O Storm Water Fee.„...........„................16.50 City of Waterloo Subtotal.. ...... ............$141.55 Billing Frequency: Billing Date: Billing Due Date: Quarterly 5/27/2016 6/20/2016 10,1q12311,22212nOM2001mm, IV 1111110111 0000000000000111VVIIViiiii1111 Previous Balance... ..... . . . ............140.20 Credits/Payments...„,........................140.20 CR Deposit Payment..... ....... . ... Balance Forward.......„......... ....... ..... $0.00 Water Works City of Waterloo Total Current Service Charges.................174.14 Total Amount Due.... ....... ....... Amount Due After 06/20/2016 2/18/2016 5/18/2016 .11111grimmripl.,41,,,plor R1i,t,',11,1111111111111111111,11011111111N14,4, kil1111M!11, III`Ttr ,11111,11[101'1141..1",,,l,„, Actual 14.1111, 11,1011INIRoill 2101 15-71 10- 5- 0 2 Please detach and return bottom portion with your payment. See reverse side for additional information. 100001101000=1,0, " E1L5 1101111,1 101110 WATERLOO WAT P.O. Box 27 Waterloo, IA 50704 1111111111 II III op, L 0 II A 0) ORKS EIIN100000001 1001111101, 000,11,11 ADDRESS SERVICE REQUESTED 1 1 11111111111111111111Illall'Ildlilli1ild11111111111111111111111 HURTADO RICHARD M -6'11•21'*2 1838 W 3RD ST APT B WATERLOO, 1A50701-2818 (-01 Please check box if your contact information requires IN updating and indicate the change(s) on reverse side. Account Number: Total Amount Due. Amount Due After 06/20/2016: Billing Due Date. 6/70/2016 Amount Enclosed: Autopay -- Do Not Pay 112995-505632 $182.75 Tota l Amount Due will be withdrawn from you bank account on6/20/2016 som '11111'''11 '11'1° 1111!1\'1111' 111'1:111111 1'111' 1111q1'11111111'11r :11111 11 ElIVIlhiv111717 ,l'"""Illfillll'illil.1111111'1'01'11014111'1,1111:01;„111.1:llitriu11111111111101011,1:ItIo WATERLOO WATER WORKS PO BOX 27 WATERLOO IA 50704-0027 111141111111"1911I11110111'hIPIP1011111"11"1110111111 Page 39 of 288 Exemption year: h) Le( PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date Applicant's Name: Billing Addressi• Address of Exemption: i 98 W7-, id/76 17-A Water Works Account No.: c hme r� Telephone 3) 7 7(2. No. Ff( a I request an exemption from Garbage Fees during the current Calendar employ the services of a licensed trash hauler. Only the locationrh:r:th, trash hauler picks up garbage and trash will qualify fox the exemptol ' Applicant's Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: . (We) /1/c:.„6..•_v..-/,,W.4.-7e hereby declare Company N,.41.me a licensed trash hauler in the City of:Waterloo, Iowa, and that garbage and refuse at the followingHlocatiOn: that we are Beginning Address -Location of Date of customer's Name Garbage/Trash pick aLtp Contract CONTRACT PERIOD MUST COVER A LEAST We understand that the above information is we pick up Ending Date of contract CURRENT CALENDAR YEAR uaedby the Clerk's Office in Page 40 of 288 CITY OF WATERLOO Council Communication Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Clerk: Office Rigby, Nancy Approved D /1/20 41 PM ATTACHMENTS: Description Type DI 321.8 Kipling Rd. ➢::t uc <. SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. Submitted By: Property owner is requesting reimbursement of garbage fees paid for services not. This residence is located in a mobile home park, which is exempt from city garbage billing. The Water Works has provided appropriate documentation to support a refund of $521.38. Page 41 of 288 CITY OF WATERLOO Committee Communication Finance Committee Meeting: 01/0 9/2017 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle # of Attachments; SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended. Committee Action: Approval of the foliowing refunds: Refund request in the amount of $521.38 for garbage fees billed in error for property located at 3218 Kipling Road. Summary Statement: Property owner is requesting reimbursement of garbage fees paid for services not:T� Iiia residence is located in a mobile home park, which is exempt from city garbage billing. Th Water Works has provided appropriate documentation to support a refund of $521.38. Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND 525-15-5400-1785 Alternative: Not give the reimbursement. Background Information: Recommendation for reimbursements are only made after Waterloo Water Works, Sanitation, and Waste Management Services have been contacted to verify the information given by the individual. u�:IlY41Ur;.N u•_a l l?1'4 `t tin ,01111.11.11H1 Page 42,%! l Nancy Higby From: KELLEY FELCHLE Sent: Thursday, December 01, 2016 6:41 AM To: Nancy Higby Subject: Fwd: Refund -billing error Attachments: 2115_001.pdf Follow Up Flag: Follow up Flag Status: Flagged Hi Nancy, Could you please take a look at the email below from Water Works? Kelley Felchle City Clerk City of Waterloo 715 Mulberry Street Waterloo, IA 50703 319-291-4323 Forwarded message From: "MARY RATKOVICH" <MARY. RATKOVICH cr WATERLOO-IA.ORG> Date: Fri, Nov 4, 2016 at 9:37 AM -0500 Subject: Refund -billing error To: "KELLEY FELCI ILE" <KELLEY.FELCHLE cr WATi ERLOO-IA.ORG> Cc: "Amber Stephens" <Amber.Stephens@WATERLOO-IA.ORG>, "Annette Shepherd" <Annette. Shepherd( W ATERLOO-IA. ORG> Good morning Kelley, Re: Brandi Hubert, 3218 Kipling Rd, 54355 erloo, IA 50701 Account #'s: 128493-520988 & 46 -50 -6325 - I'm writing to you to request a refund on behalf of one of our customers since it was our billing error that is in question. Customer Brandi Hubert resides at 3218 Kipling Rd in a mobile home park. Mobile home parks are exempt from city garbage billing. The Waterloo Water Works originally set up Brandi's account in error resulting in the billing of city garbage feet shricf the year 2012. All of the billing documents are attached for your review. We are requesting that a total/ 5521.18 be efunded to Ms. Hubert. If you have any questions, please let me know. Mary Ratkovich-Office Manager Waterloo Water Works 319-232-6280 ext 3903 1 Page 43 of 288 WATERLOO W AT :.... W O R K5 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 Customer Name: Account Number: Service Address: Hubert Brandi M 128493-520988 3218 KIPLING RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 07/11/2016 08/01/2016 Waterloo Water Works Services Water $25.20 Sales Tax $1.77 Late Penalty $5.39 Water Works Subtotal $32.36 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8,25 Garbage $31.50 City of Waterloo Subtotal $82.50 Previous Balance.. Credits/Payments Balance Forward $109.47 -$114.86 -$5.39 Water Works Subtotal $32.36 City of Waterloo Subtotal $82.50 Total Current Service Charges $114.86 Total Amount Due $109.47 Amount Due After 08/01/2016 $114.86 13r.evious Read Ciate Currnt Read bate, Mous, Rea" -eviou.s.ReadTYPe WCurreneRva Current Read Type age (CCF) 03/23/2016 06/21/2016 871 Actual 871 Actual 0 09 tih 00 Og '�'1' ay OW SPEcIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional Information ��ICR� iCSr,RA�ABI WATERLOO WA L, WORKS P.O. Box 27 Waterloo, lowa 50704 Phone: (319)232-6280 A6DRESSEE1 Hubert Brandi M 3218 Kipling Rd Waterloo, IA 507019131 0 Please check box if contact Information requires updating and Indicate the change(s) on reverse side Account Number: 128493-520988 Total Amount Due: 109 4:7 Amount Due After : 114.86 Billing Due Date 08/01/2016 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Page 44 of 288 WATERLOO WAT a WORKS 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 ustomer Name: Account Number: entice Address: Hubert Brandi M 128493-520988 3218 KIPLING RD STATEMENT OF SERVICES Waterloo Water Works Services Water $25.20 Sales Tax $1.77 Late Penalty $5.39 Water Works Subtotal $32,36 City of Waterloo Services Sanitary Sewer $42,75 Storm Water Fee $8,25 Garbage $31,50 City of Waterloo Subtotal $82.50 Billing Frequency: Billing Date: Billing Due Date: Quarterly 04/08/2016 04/29/2016 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 titrAROKSOMMABYalt Previous Balance Credits/Payments Balance Forward $109.47 -$114.86 -$5,39 Water Works Subtotal $32,36 City of Waterloo Subtotal $82.50 Total Current Service Charges $114.86 Total Amount Due $109.47 Amount Due After 04/29/2016 $114.86 Previous.RedDat p Crr l e',acd_Da i Pr pu ead Previous Read e Current ea Curreht Read Usage (CCF) 12/23/2015 03/23/2016 871 Auto Estimate 871 Auto Estimate 0 tPEC SSAGES lease detach and return the bottom portion with your payment. See reverse side for additional information MAKE. CfigCliSTAYA4E.10.7... WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 WORKS ADDRESSEE: Hubert Brandi M 3218 Kipling Rd Waterloo, IA 507019131 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 128493-520988 Total Amount Due; '; 109 47 Amount Due After : 114.86 Billing Due Dates 04/29/2016 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 Page 45 of 288 WATERLOO WAT WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 Customer Name: Account Number: Service Address: Hubert Brandi M 128493-520988 3218 KIPLING RD STATEMENT OF SERVICES Waterloo Water Works Services Water $25.20 Sales Tax $1.77 Water Works Subtotal $26.97 City of Waterloo Services Sanitary Sewer $42.75 Storm Water Fee $8.25 Garbage $31.50 City of Waterloo Subtotal $82.50 Billing Frequency: Billing Date: Billing Due Date: quarterly 01/14/2016 02/04/2016 Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 tHARPE Previous Balance Credits/Payments $107,22 -$107.22 Water Works Subtotal $26.97 City of Waterloo Subtotal $82.50 Total Current Service Charges $109.47 Total Amount Due $109.47 Amount Due After 02/04/2016 $109.47 Previous Read Date Current Read Pate Previous Read" Pry! Read current Basi Current Read Type • (CCF) 09/24/2015 12/23/2015 871 Actual 871 Actual 0 PE AL E5SAG Please detach and return the bottom portion with your payment, See reverse side for additional information MAKE CHECKS:PAYABL; TO WATERLOO WA k WORKS P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 FAPPR:0§,Aggith Hubert Brandi M 3218 Kipling Rd Waterloo, IA 507019131 ❑ Please check box If contact information requires updating and Indicate the change(s) on reverse side Account Number: 128493-520988 Total Amount Due: 109.47 Amount Due After : 109.47 Billing Due Date: 02/04/2016 Amount Enclosed: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 46 of 288 Brandi M Hubert Hubert Brandi M 3218 Kipling Rd Waterloo IA 50701-9131 10/16/2015 10/7/2015 10/7/2015 10/7/2015 10/7/2015 Previous Balance BEGINNING BALANCE Due Date: BEGINNING BALANCE Due Date: BEGINNING BALANCE Due Date: BEGINNING BALANCE Due Date: Statement Number Statement Date Customer ID: LocationTD: Service Address: 3218 KIPLING RD WATERLOO, IA 10/28/2015 10/28/2015 10/28/2015 10/28/2015 Amount Due: 8978 10/16/2015 520988 128493 $107.22 $0.00 $24.72 $42.75 $31.50 $8.25 Page 47 of 288 UUG6DFR DISPLAY 11/03/16 10:54:33 Display Account History Account No 46 50 6325 54355 Billing Date Customer HUBERT BRANDI M Ph 961-6158 Activity Address 3218 KIPLING RD WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Total St Cnd Date Payment Payment Payment Payment Payment 10/07/15 0 0 7/08/15 0 E 25.88- 44.89- 33.08- 8.66- 112.51- P RT 4/07/15 0 E 24.72- 37.50- 31.50= 8.25- 101.97- P 1/08/15 0 25.88- 39.38- 33.08-- 8.66- 107.00- P RT 10/07/14 12 28.60- 45.61- 33.08- 8.66- 115.95- P RT 7/08/14 17 37.06- 56,01- 33.08- 8.66- 134.81- P RT -. + F3=Exit F14=Mthly Bill F16=Acct Info F17=Bill F18=Bill/Pmt F19=Gust F20=Meter F21=Cust His F22=Bi11 His Page 48 of 288 UUG6DFR DISPLAY 11/03/16 10:54:33 Display Account History Account No 46 50 6325 54355 Billing Date Customer HUBERT BRANDI M Ph 961-6158 Activity Address 3218 KIPLING RD WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Total St Cnd Date Payment Payment Payment Payment Payment 4/07/14 21 43.82- 64.32- 33.08-° 8.66- 149.88- P RT 1/08/14 27 53.96- 60.17- 33.08- 8.66- 155.87- P RT 10/08/13 28 50.50- 60.17- 33.08- 8.66-- 152.41- P RT 7/08/13 20 38.27- 60.17- 33.08- 8.66- 140.18- P RT 4/05/13 19 36.69- 60.17- 33.36- 8.66- 138.88- P RT 1/08/13 25 45.90- 72.64- 32.80- 8.66- 160.00- P RT* F3=Exit F14=Mthly Bill F16=Acct Info F1.7=Bill F18=Bill/Prnt F19=Cust F20=Meter F21=Cult His F22=Bill His Page 49 of 288 UUG6DFR DISPLAY 11/03/16 10:54:33 Display Account History Account No 46 50 6325 54355 Billing Date Customer HUBERT BRANDI M Ph 961-6158 Activity Address 3218 KIPLING RD WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Total St Cnd Date Payment Payment Payment Payment Payment 10/08/12 27 46.17- 76.80- 33.08- 8.66- 164.71- P RT 7/09/12 1 F3=Exit F14=Mthly Bill F16=Acct Info F17=Bill F18=Bill/Pmt F19=Cost F20=Meter F21=Cost His F22=Bill His I Page 50 of 288 CITY OF WATERLOO Council Communication Refund request in the amount of $62.00 for extended yard waste fees in error for property located at 211 Auburn Street. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Clerk Office ll1nglhy; Nancy Approved D/1/2() / . 3: 6 ATTACHMENTS: Description Type DI 211 A:ulhurrt Street SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Refund request in the amount of $62.00 for extended yard waste fees in error for property located at 211 Auburn Street. Submitted By: Property owner is requesting reimbursement of extended yard waste fees paid when no service was provided. Both the Water Works and the Sanitation Department have provided appropriate documentation to support a refund of $62.00. Page 51 of 288 CITY OF WATERLOO Committee Communication Finance Committee Meeting: ©1/'0''t/2017 Prepared: Nancy Higby Dept. Head Signature: Kelley Felchle # of Attachments: SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of at 211 Auburn Street. 62.00 for extended yard waste fees in error for property located Summary Statement: Property owner is requesting reimbursement of extended yard waste fees paid when no service was provided. Both the Water Works and the Sanitation Department have provided appropriate documentation to support a refund of $62.00. "/ Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND 525-15-5400-1785 Alternative: Not give the reimbursement. Background Information: Recommendation for reimbursements are only made after Waterloo Water Works, Sanitation, and Waste Management Services have been contacted to verify the. information given by the individual. 111c.' I 17➢E ,hTl 111il,1 8111 'H11111I!1110111, ��11zll+ik1 YvMlill as1,/11,1 f '1'1111,1 Page 52,,. X88 Q„....._.I.:-.)).,6„(„L„,,,,, '1 1 ) ,..„,.,..,,.,.(iA,.., (( i11,) t.'......1),-„LA,....Q..A.4,.. 0-1,/,,,,,„,- i''.4Y1-1. ,,-- (-).,„„„„) ,--V-Q-A- ('''''')/-"L'1,-Q.,..' o L'A):-.)) '14- Jo I) ' ) / ? ../q1, -.0,.„:t ift,,,..., ./.,„.114,,,./vz„.,,,,, -(11...4„„„(() (14„,„),,A -...-:(:.',,,R,.") / ..„..../,(1,./.,......L.AL (!:,„„..,,,,,,Ti.t.„.,,,,,,,?...4..i fr,Le../,,„...„.„, ) „......?) „.f.„. (-i..._...4(,,-,i,,,,L:t. '( (..../c,„?.,!........ ,„..,...;.._, ,../YTY7....A...a.....k..0()„., ..,...„,t„.(,,,;(1,?" 1/...,e...t'i,.0 012.,;,...„4,,(,),,,,,_ . ,,,,,,,......) 4.i„k„.I- 4 d ...X..44,Z.....e.:N„... / ..,4,) ‘,`.1).,4:ebi'"").4.:..-ez z..„/e7A,„,i/v1....„.., e.„,,..k.„,. :',1,141,::,.. .... „..„,,.„,„/„.:1,....„0 •")1-10-„,„„„Lg„ ---- .(,4).32._ -,./Y(1../4.,)--0,..A.,„... ".,..,......(...-iJ.,,....,,,,.....,:e ,y,,,,,,f,:),,,,Li...,,,,,_ 13) /1,,A.- ottYLo2L-A„.,,,,o,:, il- Al ALA.. ( (1 --' ,6./621 ._ AIL:6 ( )4x-fi_ -JOA',-... ,,t121--24/),ti4 -L 0,„,, J,',14.04,'") ) ()L (L&� !?J yQ A , ,„ -(1) 1- ('. ..,2L(I.A,„,,,L,L.1„./..:.,,, '4,---- /r.„-ek,„.•;L., ;,,,'. 1 i „, ,. 1 in.61,,,,a,„e..,,..,0 -,,/, .,,,1 / 9 ', .) :5 0 1 1,,,, ''.-- ,) „,'.,--)1... 61„_... t,.,1,....t.,...,.....e. ) .....) 6t..../0„,..,,,,4 c,,„ ,:,Jt ) ,,,.„.4....1.„, „,...., 12,4,) 4/62A.L14. 0 0 '21? (7:7;2 / 14 LlL., "<) Page 53 of 288 UUG6DFR DISPLAY 11/3U/I6 9:b/:U1 Display Account History Account No 10 60 0220 15226 Billing Date Customer MCCOMBS PHILIP Ph 233-9 Address 211 AUBURN ST WATERLOO 5=Payments ? Billing Consu Water Sewer Date Payment Payment 9/04/15 19 42.56- 58.85- 6/05/15 3/05/15 12/05/14 9/05/14 6/05/14 16 16 18 30 15 37.20- 37.20- 37.01- 56.40- 32.16- 51.36- 51.36- 55.32- 55.32- 49.38- 35 Activity Garbage STORM Payment Payment 49.80- 8.25- 49.80- 49.80- 49.80- 49.80- 49.80- F3=Exit F14=Mthly Bill F16=Acct Info F17=Bi F20=Meter F21=Cust His F22=Bill His Last option was: DAILY OPERATIONS Total St Cnd Payment 159.46- P 8.25- 146.61- P 8.25- 146.61- P 8.25- 150.38- P 8.25- 169.77- P 8.25- 139.59- P F18=Bill/Pmt F19=Cust F.7 tk cit coo Page 54 of 288 110100 WATERLOO A`[ _.. ..-.a•..�,�ww,�smrewtuwpd�,4k'r(rrnN�a ww�+�waC'wu��l�4N�ww 325 Sycamore Street P.O. Box 27 Waterloo,Iowa 50704 ustomer Name: Account Number: Service Address: McCombs Philip 115301-506683 211 AUBURN ST RKS STATEMENT OF SERVICES "'""'"1;1?" wW Wiling Frequency: Billing Date: Billing Due Date: Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 Quarterly 03/07/2016 03/28/2016 Waterloo Water Works Service Water ............... Sales Tax ............. Water Works Subtotal City of Waterloo Services Sanitary Sewer ....... Storm Water Fee ... , ... . Garbage................ Yard Waste ..... . . . Extended Yard Waste , ... . City of Waterloo Subtotal $33.95 $2,38 $36.33 $54.25 $8.25 $31.50 $9.00 $9.30 $112,30 Yt 111111111 1 )) tn) 11111111111111111111 1111111111111 Previous Balance ............................. Credits/Payments ............................ Water Works Subtotal . , , ... City of Waterloo Subtotal . , , . , .. , .. . Total Current Service Charges ... . ............ Total Amount Due ......................... Amount Due After 03/28/2016 . $158.22 -$158.22 $36.33 $11.2.30 $148.63 $148.63 $148.63 i),,,))2 P 11/24/2015 02/24/2016 0011 I 1wsv))))) 1111010 Izl'oloiro1001111 11011 '.1'1111 "001 111,11;110,41101 uu iolld 11,0 01111101 1,463 Actual 1,477 Actual 14 1 vu wuo iu.. 111111111 11 I ,... iii ) iidauu Please detach and return the bottom portion with your payment. See reverse side for additional information WATERLOO ol0000volloollOolor A P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ma McCombs Philip 211 Auburn St Waterloo, IA 507011809 Q Please check box if contact information requires updating and indic the change(s) on reverse side 0 CORKS 110 l2 Account Number: 115301-506683 Total, Arno 63 Amount Due After : 111rr Due Date: 148.63 03/28/2016 Amount Enclosed: Total Amount Due will be account on 03/28/2016 ithdrawn from your bank '1110"" 01111,0 ti 1111111111 1,1,11111100o 1000 WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 56 of 288 WATERLOO ° 325 Sycamore Stree P.O. Box 27 Waterloo. Iowa 50704 lii1100000000000001000000400:0 1110011:000041, Mil �ustome,Nome: Account Number: Serv|reAddreso: McCombs Philip 1I6301-586683 211 AUBURN ST �� ,,�'�� STATEMENT OF SERVICES Mlh �� Watedoo Water Works Services Water........„....^.....^..........`...^.^. Sales Tax . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . Water Works Subtotal ..,.........,...'....... Qty of Waterloo Services , . ,......... „ , . • ,Sanitary Sewer . . . . . . StormWater Fee .. . . . . .. . . . . . . . — . . . . . . . Garbage . . . . . . . . .. . . . YardWaste ... . . . . . . . . . ��.. . .. . . . .. Extended Yard Waste .........'....,,......... City of Waterloo Subtotal ......,..... $37.45 $2.63 $40.08 $54.25 $31.50 $9.00 $9.30 $11230 11111111Ra Billing Frequency: Quarterly Billing Date: 05/03/2016 Billing Due Date: 06/24/2016 Phone. (319) 232-6288 www.waterloowater.org 11111111111110E1M=1,1,V,IIIIR '"."11; 1111111111111111111 o000000000iimbR 000�� 11111111111111111111111111 1111111111111111111111111111111111111111111111111,,,,,, „„,� u"","1„,?„,„„,„,w:11111„1„1„1 Previous Balance __ _......._........—... Credits/Payments .........-..� _ , , , , Water Works Subtotal , .., , _ $148.63 City of Waterloo Subtota$112.30 Total CurrenService Charges .. . Total Amount Due .�.,......... $152.38 $152.38 $159.87 02/24/2016 05/26/2016 1,477 Actual 1,493 Actual 16 10010000.0.0000, Please detch and reurn the bottom portlon wth your payment. See reverse side for additional informaton WAT E. R|OO P.n.Box 77 Waterloo, Iowa 50704 Phone: (319) 232-6280 ORKS McCombs Philip 211 Auburn St Waterloo, IA 507011809 0 Please check box if contact informatiorequires updating and indicate the change(s) on reverse side Account Number: 115301-506583 TotalDue:�^ ��8 "MingAmount Due After : ~—�—Due ~^~.~ _- Amount Enclosed: 159.8/ 06/24/2016 Tota Amount Due will be withdrawn from your bank account on 06/24/2016 WATERLOC WATER WORKS P.Q.BOX 27 Page 57 of 288 WATERLOO W/\[ER KS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 11111:101Iiiii11101111111111 Customer Name: Account Number: Service Address: Phone: (319) 232-6280 www.waterloowater.org Pace 1 of 1 STATEMENT OF SERVICES .41111111111111111111111111[1111111111111111111.111.111111111111111111,1,1,11 1.1.1.13,f,""""""""""..."' 1111111111.1 11111111111111101111111M 0.........„31101,11,11111111110 iiiiiiiii111111100000000000111I1 )111111111111111111111111111111 McCombs Philip 115301-506683 211 AUBURN ST Waterloo Water Works Services Water .......... . _ — „ . „ „ Sales Tax Water Works Subtotal $4230 $2.99 $45.69 City of Waterloo Services Sanitary Sewer . — — — „ $54.25 Storm Water Fee — — $8.25 $31.50 Yard Waste . _ _ _ . ..... $9.00 Extended Yard Waste . „ „ „ . „ „ , . _ „ $9.30 City of Waterloo Subtotal „ , _ „ „ _ $112.30 11„„„„„ 11111iiIPI11,1111111111,11„.,.)).iiilitiii11111111111111,„ Billing Frequency: Quarterly Billing Date: 09/06/2016 Billing Due Date: 09/27/2016 .1.)4iii)v,111111,11:!1:1111:oriroll)miilloolurrinur11111111111:11:1111111111111111111111111111111111111111111111111111111011111111110t001Ii p Previous Balance ...... ......... „ , Credits/Payments . Water Works Subtotal „ ....... City of Waterloo Subtotal . , ......... _ . Total Current Service Charges ... , ........ Total Amount Due ...... ..... Amount Due After 09/27/2016 , 11- 9., • . ... r.. $15238 -$152,38 $45.69 $112,30 $157.99 $157.99 $165,75 PeePt,tsi'k04 ° 9P0' 01101111POrrot 0110,0 04t- 1.r? ov. 10.1.111.0 Pel‘lidus 05 26 2016 08/25/2016 1,493 Actual 32 26 IJ_ 8 16 v, 12 6 = 4 0 (-0'6 e). 01, p ie ,4!" 02,10 c13 1,512 Actual 19 1,11)1111.1.1,11. 11111',1111, tH 0,0111, ,'11111111,1110111011,1'111,:1'141iiiiii'l'IP:1,1,10„1,1,1h0p,p,„„,,„,„? 10,,,,,,0,0,11,10010,1,111,11,1000111,,n,000 11111111 . Please detach and return the bottom portion with your payment. See reverse side for additional information 11111111,1,11,00,0,,,„ 1111111iril 1.0110,111,,,,1111111,00,, ”1"),0,""',1101 0i0,60,0111111111111111 11110,1d,,,110 '10011 01, 04,1,1,„,y011,10.„1,011111,,,,,,,1,, WATERLOO WA P.O. Box 27 Waterloo, lowa 50704 Phone: (319) 232-6280 ORKS .111111.11,1run 11111111111111 „ 0 1 1 1 111 1,111,11,1111111,1,1,1,0„,11,1 1„1 1'1 1 1 1 n' „,1 1 ,11111.1,11U0,111 pri„„ 1,0111111111,11111111,11:!(4111,1)111,11/1, 01 4, 1111 111 :0 0, 10,0111 11' 111 11 McCombs Philip 211 Auburn St Waterloo, IA 507011809 El please check box if contact Information requires updating and 'jndicate the changes) on reverse side Account Number: 115301-506683 Tote! Amount Due: . . . . . Amount Due After: 165.75 fd ling Due Date: 01011'" 1 1 00,1,1„ 1..., . 1 „I 1 I 11111 1 011,1 1,010 . . . .0 11 1 1 1 (-0'6 e). 01, p ie ,4!" 02,10 c13 1,512 Actual 19 1,11)1111.1.1,11. 11111',1111, tH 0,0111, ,'11111111,1110111011,1'111,:1'141iiiiii'l'IP:1,1,10„1,1,1h0p,p,„„,,„,„? 10,,,,,,0,0,11,10010,1,111,11,1000111,,n,000 11111111 . Please detach and return the bottom portion with your payment. See reverse side for additional information 11111111,1,11,00,0,,,„ 1111111iril 1.0110,111,,,,1111111,00,, ”1"),0,""',1101 0i0,60,0111111111111111 11110,1d,,,110 '10011 01, 04,1,1,„,y011,10.„1,011111,,,,,,,1,, WATERLOO WA P.O. Box 27 Waterloo, lowa 50704 Phone: (319) 232-6280 ORKS .111111.11,1run 11111111111111 „ 0 1 1 1 111 1,111,11,1111111,1,1,1,0„,11,1 1„1 1'1 1 1 1 n' „,1 1 ,11111.1,11U0,111 pri„„ 1,0111111111,11111111,11:!(4111,1)111,11/1, 01 4, 1111 111 :0 0, 10,0111 11' 111 11 McCombs Philip 211 Auburn St Waterloo, IA 507011809 El please check box if contact Information requires updating and 'jndicate the changes) on reverse side Account Number: 115301-506683 Tote! Amount Due: 157.99 Amount Due After: 165.75 fd ling Due Date: 09/27/2016 Amount Enclosed: Total Amount Due will be withdrawn from your bank account on 09/27/2016 11111111 „, 0000, 0 .1 10 1111 11 „, 1 1 101 1111 1 . ini111111,1 1 1 1 1 111, .1 1 1113,1111,1111 11101041111101110010„)11110101,10A11111 "1111 WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 Page 58 of 288 CITY OF WATERLOO Council Communication Airport City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Airport Rigby, Nancy Approved l/4/20 3il PM ATTACHMENTS: Description Type D Departineni Requests Backtup Material Page 59 of 288 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 Airport Department to expend $ 7,565.80 plus est. shipping costs of $ to pay for or purchase replacement of damaged perimeter gate. Received payment from farmer's insurance company for amount of replacement gate. This purchase or expenditure is being made because: contract farmer damaged gate and hardware while pulling farm equipment through by not getting equipment through in alloted time before gate started to close. Vendor selected for this purchase: Miller Fence [x] Bids or written quotes were taken on this purchase, as follows: Miller Fence - $7,565.80 D & N Fence - $10,855.00 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: =.1 General Fund riBonds Road Use Tax Federal/other grants Sewer Other (specify) This expenditure is to be coded to the following budget line -item: 010-29-7700-1371 Sanitation (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is d the current available balance is :submitted., (Signature D t. Head or Designee) / $ $ 11077300 64,261.591::104i5e-6:1-€74 : i':;/"6::::;)/ ,. iii- r.! ,I,A.,513e f Ct' 1411 •, t griature Finance Dept., Review) Date K:\shared goodies\forms\Miller Fence_Gate Replacement.xls (Mar 2010) Page 60 of 288 1•!,' CITY OF WATERLOO Council Communication Building Maintenance City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Building Department Higby, Nancy Approved 1/4/20.17 3:19 PM ATTACHMENTS: Description Type D Department Requests Bacleup Material Page 61 of 288 City Clerk U e 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 Bldg IVIaint Department to expend $ 1,850.00 plus est. shipping costs of $ to pay for or purchase 7/4,1, ),„q This purchase or expenditure is being made because: Amending original pre-auth for additional plumbing work in the amount of $1,850.00 due to unexpected plumbing when replacing deteriorated sanitary lines. Vendor selected for this purchase: Ali Star Plumbing & Heating inc. Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): 6' t, c( Approved 11-14-2016 ,,„i( )( 46.), 6,) Pease check the following box(es) as appropriate to describe the funding for this expense: General Fund n Road Use Tax 0 Sewer Sanitation Bonds n Federal/other grants E Other (specify) This expenditure is to be coded to the following budget line -item: 416-22-8800-2152 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ i(46": o and the current available balance is $ /0'5:00 - Respectfully submitted, ;7/7 (Si ature 6ep. Had or Designee) Date (Signature Finance Dept. Review) 6.7/7-(, .) 11' K:\shared goodies\forms\Pre-Auth PD - Evid Bldg - Change Order.xls (Mar 2010) / Date Page 62 of 288 CITY OF WATERLOO Council Communication Police Department City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Police Department Rigby, Nancy Approved l/4/20 3:20 PM ATTACHMENTS: Description Type Department Requests Bacleup Material Page 63 of 288 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 Police Department to expend $ 2,000.00 plus est. shipping costs of $ 0.00 to pay for or purchase (3) separate training classes for Police Officers in Courtroom Demeanor and Testimony This purchase or expenditure is being made because: This training is to provide as many Pohoe Officers with the tools that can help them to be better in the courtroom while testifying Vendor selected for this purchase: Matt Wilber Fi Bids or written quotes were taken on this purchase, as follows: nBids or quotes were not taken on this purchase because: This class is being put on in conjuction with the Black Hawk county Sherriffs Office and is developed by Matt Wilber who is an attorney and developed this class which can not be given by anyone else. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund [11 Bonds E Road Use Tax Sewer Sanitation Federal/other grants L Other (specify) This expenditure is to be coded to the following budget line -item: 010-11-1100-1346 (Fund - Department - Activity - Account Number) (Project Code) $ ,ted/e 43 0 in which the budgeted amount is and the current available balance is espectfully s itted, 1 0 • 13 (Signature Dept. Head'or-Designee) 4'21 - - Date Date (Signature Finance Dept. Review) K:shared goodies\forms\Expenditure Pre -Authorization (Mar 2010) Page 64 of 288 CITY OF WATERLOO Council Communication S ewer Department City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Waste Management Rigby, Nancy Approved l/4/20l7 3:22 PM ATTACHMENTS: Description Type Department Requests Baclthp Material Page 65 of 288 City Clerk Use Only Finance Committee Approval Date City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer $ 1.600.00 plus ext, shipping cost of $ 0.00 Department to expend to pay for or purchase GraniteNet Office Software License and Support Plan for Engineering Dept. Support This purchase or expenditure is being made because: Engineering dept. support to edit the data with CCTV inspections. Vendor selected for this purchase: Cues, inc. Bids or written quotes were taken on this purchase, as follows Bids or quotes were not taken on this purchase because: Cues, Inc. is rep. for purchase of this software. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund: Road Use Tax: riSewer: ElSanitation: ribonds: Federal/ether grants: 00ther(specify): This expenditure is to be coded to the following budget line -item: 520-14-5200-1520 (Fund - Department - Activity - Account Number) (Project Code) in which budgeted amount is $ 32,000.00 / and the current available balance is $ 20.840.27 Respectfully submitted, 1(2 -CA -1 (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date Page 66 of 288 "Thu Standard of tha Industry" November 14th, 2016 Mr. Mark Brandes Waterloo, City of 3505 Easton Avenue Waterloo, IA 50702 Phone: (319) 239-2715 mark. brandesPwaterloo-ia.orq RE: GraniteNet Software Quote Mr. Brandes: Please find below the pricing information you requested for the purchase of the GraniteNet Office License and Support Plan. Below is a brief description of what this software package provides. GraniteNet Office Software License Used primarily by engineers and supervisors, the Office Edition allows CCTV inspection records to be edited and changed upon subsequent review. This edition has the ability to generate reports, allow users to modify inspections and observations gathered in the field, synchronize inspections, capture images from playback, and view mapped data. GraniteNet Software Support Plan Superior technical support provided by a high caliber team of experts that Includes on-going software maintenance release updates available online for download including the latest technical documentation and at no additional charge. Professional telephone support is available Monday through Friday 8:00 AM -- 5:00 PM EST as well as remote online technical support. Access to online support services including FAQs, the CUES knowledge base, user forums and downloads are available through the Granite customer support website, http:/lsupport.gnet.us.com. Part# GraniteNet Software & Services GN904 Office License GN538 Office Support Plan Price Qty. Actual $1,250 1 $1,250 $350 1 Grand Total $350 $1,600 Terms: Net 30 FOB: Destination Delivery: As Required This quote is valid for 60 days. Page 1 oft Waterloo IA GraniteNet Software Quote 11/14/2016 Page 67 of 288 CITY OF WATERLOO Council Communication S ewer Department City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Waste Management Rigby, Nancy Approved l/4/20l7 3:23 PM ATTACHMENTS: Description Type Department Requests Baclthp Material Page 68 of 288 City Clerk Use Only Finance Committee Approval Date City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer $ 3,131.00 plus ext, shipping cost of $ 72.00 Rebuild kits with Lobe kit and Seal kit for Primary sludge pump. Department to expend to pay for or purchase This purchase or expenditure is being made because: Pump worn and not pumping enough volume. Vendor selected for this purchase: Zimmer & Francescon, Inc. OBids or written quotes were taken on this purchase, as follows Bids or quotes were not taken on this purchase because: Zimmer & Francescon, Inc. is rep. for replacement parts. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: EliGeneral Fund: [Road Use Tax: ElSewer:, r]Sanitation: ElBonds: riFederal/other grants: ElOther(specify): This expenditure is to be coded to the following budget line -item: 520-14-5200-1571 (Fund - Department - Activity - Account Number) in which budgeted amount is and the current available balance is Respectfully submitted, (Signature Dept, Head Or Designe ) Date (Project Code) $ 350,000.00 / $ 153.884.56 .6441,41e4.- („}i (Signature Finance Dept. Review) 7 Date Page 69 of 288 -- • • - u: r c•tK LJV( Limner & rrances con Parts Quotation Zimmer & Francescon, Inc. 6200 65th Avenue Moline lL 61265 800-621-1118 TEL 877-244-2508 FAX Job Description: Parts for VX136-140QD sn BJC71180141 QUOTATION # 161227AL 1 Date: 12/27/16 To: Waterloo WWTP Attention: Richard Olson Fax # 319-291-4523 From: ANDREW LARSON 1f001/002 QUANTITY UNIT DESCRIPTION PRICE TOTAL 1 ea Lobe Kit 11.00014 1,236.00 1,236.00 Consisting of 2 Fitting Key NPF.013 34 2 0 ring DOR.043 46 2 0 ring DOR.021 47 2 Strain bolt PRS.102 48 1 0 ring DOR.051 50 1 Lobe Left NBR PKB.B103.TL.NB 51 1 Lobe Right NBR PKB.B102.TR.NB 51 2 0 ring DOR.041 79c 2 Shim NUS.029 79d 2 Cover NST.017 83 1 ea Seal Kit 11.000001 1,895.00 1,895.00 Consisting of 2 0 ring DOR.043 46 2 0 ring DOR.021 47 2 Strain bolt PRS.102 48 1 0 ring DOR.051 50 2 Mechanical Seals PBT.B019 79 2 Cover NST.017 83 1 ea Freight and Handling 72.00 72.00 Delivery is 1-2 weeks ARO Materiels Total 3,203.00 /4/1 //'#.t Y S .4 4.0 i ��.*s sa of?fe34 /4 it / r.5 Page 70 of 288 CITY OF WATERLOO Council Communication S ewer Department City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Waste Management Higby, Nancy Approved /4/20 3:24 PM ATTACHMENTS: Description Type Department Requests Baclthp Material Page 71 of 288 City Cleric Use Oniy Finance Committee Approval Date City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer $ 2,668.75 plus ext. shipping cost of $ 300.00 York replacement coil for Administration Building 1/2 AHU. Department to expend to pay for or purchase This purchase or expenditure is being made because: Coil worn-out Vendor selected for this purchase: Dalton Plumbing Heating Cooling, Inc. riBids or written quotes were taken on this purchase, as follows MBids or quotes were not taken on this purchase because: Dalton Plumbing Heating Cooling, Inc. is rep. for a replacement heat coil. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: niGeneral Fund: ORoad Use Tax: ]Sewer: Sanitation: F7Bonds: Dederal/ether grants: nOther(specify): This expenditure is to be coded to the following budget line -item: 520-14-520-1571 (Fund - Department - Activity - Account Number) in which budgeted amount is and the current available balance is Respectfully submitted, ,----- ( (11(2441 (Signature Dept. Head Or Designee) Date (Project Code) $ 350,000.00 / $ 4&88456L(1,71 (Signature Finance Dept. Review Date Page 72 of 288 MAINTENANCE From: Jeff Jackson <jjackson@daltonphc.com> Sent: Thursday, December 22, 2016 4:04 PM To: MAINTENANCE Cc: MAINTENANCE Subject: York Loose Coil Pricing and Specs. Dick, Here is the information and pricing you requested. This coil is not stock and must be built to spec. Please let me know if you have any questions. Thank you. Base Unit/Access -- Loose Coil Tag: 100AHU2A Appl: Heating Fluid: Water CA -006 -12 -30.25X062 -G-01 H -C -020 -B -025 -W -I -104 -L -C -5 -01 -B -M -1.50 -05.00 -A -N -L -99 -S -S Type: CDW Height: 30.25" Width: 62" Rows: 1 FPI: 12 Fluid Volume: 0.3 cu ft. Fluid Weight: 18.2 Ibs Dry Coil Weight: 75.3 Ibs Fin Material/Thickness: AL 0.006" Tube Wall Thickness: 0.020" Copper Brazed Return Bend: 0.025" Casing Material: Galvanized Header Material: Copper 1 set(s) of connections Supply: 1-1/2" Return: 1-1/2" Connection Material: Red Brass Standard Shipping Special Quotes: York replacement coil from "96", hold 2 1/8" to inlet & 2 %" to outlet conns. 4 WEEK SHIPPING: $2668.75 10 WORKING DAY SHIP: $3075.00 5 WORKING DAY SHIP: $3468.75 ***ALL SHIPPING SCHEDULES FREIGHT ALLOWED B/W. QUOTE EXPIRES 30 DAYS FROM DATE OF ISSUE in. 41N4r - tf- GiP/A Jeff Jackson 1 Page 73 of 288 Warehouse Manager It -PLUMBING HEATING COOLING,n . SinCe. 1959 Your Comfort is Our Promise 5536 Nordic Drive Cedar Falls, IA 50613 Cedar Falls: 391-266-3513 Waterloo: 319-234-2150 Waverly: 319-352-1405 Fax: 319-266-3515 www,DaftonPHC.com 2 Page 74 of 288 CITY OF WATERLOO Council Communication Approve the project budget amendment to use $7,565.80 in damage claim revenue to repair the gate at the airport damaged by farm equipment, as submitted by the Airport. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date A. rport Higlby Nancy Approved 1/1/201.7 3:26 ATTACHMENTS: Description Type a ..Departi Wena Re qu ;sts ➢.3unigct Amendment SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Approve the project budget amendment to use $7,565.80 in damage claim revenue to repair the gate at the airport damaged by farm equipment, as submitted by the Airport. Submitted By: Page 75 of 288 Completed forms should be routed directly to the Finance Dept. FINANCE. DEPT. ONLY Finance 9pmmbftee approval required? YES ', NO If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee cif the City Council and/or Finance Dept, is hereby requested to authorize the following line -item budget amendment for FYE 6/30/2017 submitted by the WATERLOO REGVONAL AVRPORT Department: TOTAL. $7,565.80 TOTAL This amendment is being requested because: payment received from farmer's insurance company for cost to replace gate damaged by farm equipment. $7,565.80 Prior Commitee'- Actions (Dates): NONE gnatur- f;t..�f'dad or Designee K:lusers\shared goodwesldorms\Gale Damage by Farmer.xls (Apr 2403) Date ;Signature Finance Dept. Review) Date Date Posted (Finance Dept.) Page 76 of 288 EXPENSES/REVENUE DECREASE EXPENDVTURES (INCREASE REVENUE) INCREASE EXPENDVTUR'ES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # 010 29 7700 1371 Acct Name Bldg Maint Proj Code Amount 7,565.80 010 29 7700 3871 Damage Claims 1 7,565.80 010 29 7700 010 29 7700 010 29' 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 010 29 7700 TOTAL. $7,565.80 TOTAL This amendment is being requested because: payment received from farmer's insurance company for cost to replace gate damaged by farm equipment. $7,565.80 Prior Commitee'- Actions (Dates): NONE gnatur- f;t..�f'dad or Designee K:lusers\shared goodwesldorms\Gale Damage by Farmer.xls (Apr 2403) Date ;Signature Finance Dept. Review) Date Date Posted (Finance Dept.) Page 76 of 288 CITY OF WATERLOO Council Communication Approve the project budget for the Leversee Area Civil Engineering and Design project in the amount of $188,700, funded with Tax increment Financing funds, as submitted by the Planning & Zoning Department. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department nn'nn g Zoning ATTACHMENTS: Description a ...Department Requests SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Reviewer ilitlby; Nancy Action Approved Type c Date P1/20 7 3:27 PM Approve the project budget for the Leversee Area Civil Engineering and Design project in the amount of $188,700, funded with Tax increment Financing funds, as submitted by the Planning & Zoning Department. Submitted By: Page 77 of 288 Project Name City Contract No. Project Manager Project Budget Total PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Gni«srt /1/ Ct arr .�,° ;°,r6d Waterfoo-Airper-Industrial-Per Etagineering Land-Sufveyi Noel Anderson $ 188,700.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name B. State Grant Grant Name C. City Match X CFDA # Yes No X Source of Funding MidPort TIF D. Other Entities Yes Name No Ls/6 % Paid by federal grant Grant Agreement Number % Paid by state grant Grant Agreement Number % Paid by City % Paid by other entity 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. 6. Include a brief description of the project in the space below: (REQUIRED) Clapsaddle-Garber Associates will perform civil engineering & land surveying services within the Midport area that is available for development. The city owns 310 acres of land west of the airport. 100.00% Done None n Yes No ❑ ❑ n ❑ Eln o ❑X ❑X X X Page 2 must be attached and signed. K:Ishared goodies\rorms1MidPort Dev - CSG.xls\Page 1 All Projects (Mar 2010) Page 78 of 288 Page 79 of 288 PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) Waterloo-AirportAndustrial-Park-Engineering4 Land,Surveying Department No. project will be budgeted under 08 Activity No. project will be budgeted under 6250 REVENUES: 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds 3905 Tax Increment Fin (MidPort) EXPENDITURES: To be assigned by the Finance Dept, Project No, Subproject No. (Each column should only include amounts by fund) Fund: 426 Fund: Fund: Fund: 188,700.00 TOTALS $ 188,700.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 2103 Engineering & Consulting 188,700.00 (Signature Dept. Head) f2.22 Date /11-(ri2.1 (Signature Finance Dept. Review) Cshared goodieslforms \Project Budget Worksheet.xls \Page 2 (Donat or NON-constr) (Mar 2010) Total 188,700.00 $ 188,700.00 188,700.00 $ 188,700.00 Date Page 80 of 288 Page 81 of 288 October 21, 2016 Mr. Noel Anderson Common€ty Planning & Development Director City of Waterloo Community Planning & Development Department. City Nall 715 Mulberry Street Waterloo, lova 50703 RE: Proposal.for Civi€ Engineering & Land Surveying Services Waterloo Airport Industrial Park Waterloo, Iowa Dear Noel: ENGINEENS LAND SURVEYORS=�t CGA is pleased to submit bur proposed scope of services to provide Civil Engineering:and Land Surveying Services for the proposed Airport Industrial Park In Waterloo; Iowa. We have enjoyed working with the City of Waterloo and look forward to working with you again on this project. Scope of Services The scope, of services, based on ourmeeting rig 848-16; shall.beas follows: Task 1. Planning and Project Oevelopnent a) Site -Boundary and Topographical Survey-- CGA shall provide,boundaryand tppographical surveying services for the.proposed 380 acre Project Site depicted on Attachment.'C', The boundaiysurvey shall be prepared en.the property indicated an Attachment C as FAA Reteased' and the property.€ndicated'as "Possible Future FAA Released Land", A separate plat of survey required by:1=AA.kr the,release of the clear zone property Shall be prepared under Task,3—.Release of Current Clear_Zone Property from Runway 6-24. The.City shall provide CGA with the Deed`of Release and any associated plats of survey for the parcels ldentlfled as "FAA. Released", The limits of the topographic survey shall be approximately 100'" outside of the limits of the project Site.. This will also include a topographical survey of Leversee Road along.the western boundary, and the existing -rail line a€ongthe southern boundary. The topographic. survey will include ground shots on grid and elevationbreaks; top of rail,:edge.of pavements, signs -,and other observabre above ground features. Existing utility information will typically he located and shown on the drawing in accordance with Utility Quality Level C location ofobservable utilities°.and those identified through the Iowa One -Call process. Starrn and sanitarystructure.s will be located with the type, slxe, and invert elevations. CGA will be responsible foe contacting Iowa One -call and coordinating location activities: The boundary survey and topographical:survey of critical features shall be performed initially,- with the majority of the open field topography supplemented with LIDAR in order to begin the Conceptual Layout process outlined in the next task. b} Coordination of Runway 6-24 Closure -- CGA shell coordinate with the Waterloo Airport Board.of Directors Waterloo Airport:staff, City of Waterloo staff and the FAA In order:to.facilitate the construction of the rail and other infrastru.cturewithin the current Clear Zone for Runway 6-24. CGA will prepare exhibits required by Waterloo Airport Board of Directors; City of Waterloo City Council, and the FAA as Clapsaddle-Garber.Associates, Inc. 5108 Nardio Drive . Cedar Falls, Iowa 50613 o Tail Free 800-542.7881 e www. cg a co n s ul l a n l s. c o m Page 82 of 288 needed for the Runway 6-24 closure. A redline of the current ALP Plan sheets will be provided to the FAA that illustrates Runway 6-24 closure. An effort will be made to temporarily close Runway 6-24, prior to permanent closure, In order to phase the development of the proposed commercial and industrial park. c) Release of Current Clear zone Property Runway 6-24— CGA shall prepare and submit to the FAA required documentation to release the land shown in Attachment 'C' as "Possible Future FAA Released Land;' This will includea redline of the current ALP Airport Property Map plan sheets and a land appraisal in accordance with the Uniform Appraisal Standards for Federal Land Acquisition as required by the FAA. Additionally, a plat of survey for the released parcel will be prepared and provided to the FAA as part of the required documentation. d) Conceptual Layout — CGA shall prepare a conceptual commercial and industrial park layout of the entire 380 acre Project Site. The conceptual layout will also take into account proposed rail alignments, storm water management outlined below, and sanitary and water main extensions. CGA shall work In close coordination with the City of Waterloo staff, Standard Distribution, CN, ViaRail, Waterloo Regional Airport authorities, the FAA and other departments and stakeholders during the development of the Conceptual Layout. e) Storm Water Management Man — CGA shall prepare a storm water management plan for the city's review and approval. This plan will include a summary, site characteristics, runoff analysis, storm water conveyance and management design, emergency overflow description and design, sub -catchment schematics, storm sewer calculations and hydrograph routing. The storm water management plan will recommend either regional detention facilities constructed with the initial roadway improvement, on-site detention facilities to be designed and constructed as private development occurs, or a combination of both. This plan will also take into consideration impacts to the airport, such as minimizing wildlife attractants. f) Preliminary Plat— Upon approval of a Conceptual Layout and Storm Water Management Plan, CGA shall prepare a Preliminary Plat in accordance with Section 11-3-2 of the Subdivision Ordinance for use by city staff during the Preliminary Plat review and approval process. g) General Planning. Development, and Meetings — CGA shall work In dose coordination with the City of Waterloo staff, Standard Distribution, CN, the City's designated rail design consultant, Waterloo Regional Airport authorities, and other departments and stakeholders during the planning and development phases of the project. This will Include development meetings, plan review meetings, and other typical forms of correspondence. A preliminary schedule will also be prepared in coordination with the City outlining the various benchmarks throughout the design and bid letting phase. CGA shall present the planning and design documentation prepared by CGA for review at the City Council meetings, work sessions, or other meetings If required. Task 2, Design Services a) Construction Documents — CGA shall prepare design drawings to include the following plan sheets: title sheet; estimate of quantities and specification reference information; standard details; existing conditions, demolition & traffic control; typical street sections; street plan/profile; detailed grading at existing street tie-in locations; rail embankment design; borrow/waste site grading; utility crossings layout; storm sewer plan/profile; sanitary sewer plan/profile; water main plan/profile; stormwater management; pavement jointing; striping & signage; swppp; sewer and earthwork tabulations; and street cross-sections. The exact scope of final design is not yet known at this point. For purposes of this scope of services and basis for estimated design fees CGA shall assume that this will Include approximately 2,000 LF of roadway design with related utility extensions, and approximately 4,000 LF of rail embankment design. This scope Page 83 of 288 will also assume a gravity sanitary Sewer design to serve; the. proposed site, A scope and fee adjustment may be required if the:final site selected requires the design of a lift station and force main, or .if the scale/scope of the design changes. A. site geotechnical investigation .and report is not Included In this scope. If it Is determined that a. geotechincial report should -be performed for this project, CGA,shall assist the City in requesting proposals from qualified geotechnical englneering firms, b) SWPPP — CGA shall prepare and: submit. the .SWPPP documentation to the Iowa DNR and the. City of Waterloo: This will Include preparation and submittal ofithe.Notiice of Intent forthe'NPDES General Permit No. 2, Construction Site Runoff, The SWPPP manual will also be provided to the city:arid contractor for use during -construction. c) Est[mate of Quantities — CGA shall prepare a quantity takeoff from the final.design -plans and provide en estimate of quantities and engineer's opinion of probable cost. d) Offsite Easements— CGA shall coordinate With Standard blstributlon.and the City:of Waterloo In obtaining a sanitary sewer easement for the -sanitary sewer extension through private property. .CGA shall prepare the temporary. construction and, permanent sewer easement for the City's use In obtaining.sald easements, e) Prefect Specifications and Bidding Phase Consultation — CGA shall prepare .the project s'peeifications in .a forinat acceptable to the City of Waterloo. Included in the project specifications are the following: engineer's certification;. notice of public hearing; notice to bidders; in. struct€on to bidders; special provisions; standard specif€cations;. and supplemental plans and specifications. The City of Waterloo shall coordinate the advertising, distribution of bidding documents, and bid letting process: CGA shall provide consultation during the bidding process, by answering questions from prospective bidders and the. City of Waterloo. f) Final Mat— CGA shall prepare a Final Platper City of Waterloo ordinance for the Standard Dlstrlbution site, as' well 'as the lots served by the proposed infrastructure In this scope. this item.assumes up to four Pots created and platted under this task. The scope and fee In Task 2 may be amended at the request of either CGA or the City of Waterloo once the final design parameters are. determined. Fee 'The approximate fee for the Scope of Services described above shall not exceed the#allowing: Task �, ..... � :, � ��"'��`.��pffrglmafe:Fgei,`, i Task 1— Planning & Project Development $114,500 Task 2 — Design Services $74,200 Total Not to Exceed $18a,700 The final fee shall be.based on the actual number hours spent working .on the project multiplied by CGA's hourly ' rates, please refer to Attachment:V. CGA.shall prepare Invoices. monthly which are consistent with the amount of engineering services provided. Payment shall be made Within 30 claw -from the date submitted to the City -of Waterloo, Page 84 of 288 Relrnbursable expenses such.as permit fees and. .publication fees are not Included In the above fee. Attachments A—Contractual Terms and Conditions B Rate Schedules C — Project Site All attachments shall be considered a part of thls Proposal. Please note that the Scope of Services and. Fee have. been developed in part on the Project Site presented In Attachment'C. Changes to preliminary site layout may result in scope andjnr fee modifications: Please contact me 641-7S2=6701, or adaters@ceaconsultants.com If you have any questions. Sincerely, CLAPSADDEE-GARBERASSOCIATES, INC. toka, e Adam C. Daters, pE Matt D. Garber, PE, PLS Project Manager President/CEO Enclosures ACCEPTED/AUTHORI2ATIDN TO PROCEED CITY OF WATERLOO, IOWA BY: DATE: ATTEST BY: IU DTE: Page 85 of 288 ATTACHMENT 'A' Standard Contractual Terms and Conditions THE ATTACHED AGREEMENT by and between the Owner, and Clapsaddle• Garber Associates, Inc., a corporation legally formed under the provisions of Chapter 496A of the 1966 Code of Iowa, hereinafter called the Engineer/Surveyor. WHEREAS, the Owner requires professional engineering and/or professional land surveying services from the Engineer/Surveyor for the project described h the attached agreement. WITNESSETH that for and In consideration of the mutual covenants and promises between the parties hereto, it Is agreed as fellows: 1. Engineer/Surveyor The ENGINEER/SURVEYOR AGREES to pedant the described services For the Project: a. General. The Engineer/Surveyor has reviewed the site oFthe Project and the services involved and the Engineer/Surveyor shall serve as the Owner's professional representative in the engineering /surveying services required for the Project, and shall give consultation and advice to the Owner during the performance of his services. The Engineer/Surveyor shall secure and maintain such Insurance as Will protect him from claims under the Workmen's Compensation Acts and From claims for bodily injury, death, or property damage which may arise from the performance of his services under this Agreement. b. Scope of Engineering or Rend Surveying Services. The Engineer/Surveyor shall perform those tasks described In the attached agreement. c, Time Schedule for Execution of Engineering Services. The Engineer/Surveyor acknowledges the importance to the Owner of the Project schedule and agrees to put forth reasonable efforts in performing the service with due diligence under this Agreement. The Owner understands, however, that the Engineers/Surveyor's performance must be governed by sound professional practices and will be affected by outside Influences beyond the Engineer's/Surveyor's control. The schedule is Indicated in the attached agreement. d. Additional Special Services. When requested in writing by the Owner, the Engineer/Surveyor shall furnish ar obtain from others, 'Additional Special Services' not described in the Scope of Services included In this Agreement. The scope of the Additional Special Services and the related costshall be negotiated as the need arises. 2. Owner The OWNER AGREES to provide the Engineer/Surveyor with complete information concerning the requirements of the Project and to perform the following services: a. Access to the Work. The Owner shall guarantee access to and make all provisions for the Engineer/Surveyor to enter upon public land as required for the Engineer/Surveyor to perform such work as surveys and site visits In the development of the Protect. The Engineer/Surveyor-will contact private property owners for permission of entry to private lands. b. Consideration of the Engineer's/Surveyor's Work, The Owner shall give thorough consideration to all reports, sketches, estimates, drawings, specifications, proposals, and other documents presented by the Engineer/Surveyor, and shall Inform the Engineer/Surveyor of all decisions within a reasonable time so as not to delay the work of the Engineer/Surveyor. c, Legal Requirements. The Owner shall hold promptly all required special meetings, serve all required public and private notices, receive and act upon all protests and fulfill all requirements necessary in the development of the Project, and pay all costs Incidental thereto. d. information Provided by Others. The Ownor shall furnish, at tire Owner's expense, all information, requirements, reports, data, surveys and instructions required by this Agreement. The Engineer may use such information, requirements, reports, data, surveys and instructions in performing its services and Is entitled to rely upon the accuracy and completeness thereof. 3. The Owner's Payment to the Engineer/Surveyor a. General: (1) Abandoned or Suspended Work. If any work performed by the Engineer/Surveyor Is abandoned or suspended in whole or in part, the Engineer/Surveyor shall be paid for costs incurred prior to receipt of written notice from the Owner of such abandonment ar suspension, together with any terminal expenses resulting therefrom, and Including a reasonable profit. (2) payments to the Engineer/Surveyor shall be due and payable from monthly statements. Payments not received within thirty (30) days of the invoice date shall he subject to an Interest charge of eighteen percent (18%) per annum on balances over thirty (30) days old. (3)Collection. in the event legal action is necessary to enforce the payment ptovlslons of this Agreement, Engineer/Surveyor shall be entitled to coliectfrom Owner any judgment or settlement sums due, reasonable attorneys' tees, court costs, and expenses Incurred by Engineer/Surveyor In connection with such collection action. b. Payments for Services. The Owner shall pay the Engineer/Surveyor as defined In the attached agreement. 4, Conditions The OWNER and ENGINEER/SURVEYOR FURTHER AGREE to the following conditions: a. Term/notion of Contract. The Owner may terminate this Agreement at any time with or without cause upon giving the Engineer/Surveyor five (5) calendar days' prior written notice. The Engineer/Surveyor may terminate this Agreement upon giving the Owner five (5) calendar days' prior written notice for any of the following reasons: 1) Breach by the Owner of any material term of the Agreement including, but not limited to, payment terms. 2) Material changes In the condttinns under which this Agreement was entered Into. 3) Failure of the parties hereto to reach accord on the fees and charges For any additional services required, 4) Actions under this Agreement which may expose the Engineer/Surveyor to claims or other charges fired by Page 86 of 288 persons to whom the Engineer/Surveyor owes a duty of care. The Owner shall within thirty (30) calendar days of termination, pay the Engineer/Surveyor for all services rendered and all costs Incurred up to the date of termination, In accordance with the compensation provisions of this Agreement, The rights and remedies of the owner and the Engineer/Surveyor provided in this clause are in addition to any other rights and remedies provided by law or under this Contract. b. Dispute Resolution. In an effort to resolve any conflicts that arise during the design or construction of the Prefect or following the completion of the Project, the Owner and the Engineer/Surveyor agree that all disputes between them arising out of or relating to this Agreement shall be submitted to nonbinding mediation unless the parties mutually agree otherwise. c. Ownership of Documents. All documents Including survey documents, plans, and spettflcatlons prepared by the Engineer/Surveyor pursuant to this Agreement are Instruments of service In the Project. They are not Intended tar represented to be suitable for reuse by the Owneror others an extensions of the Project or on any other project. Any reuse without written verification or adaptation by the Engineer/Surveyor for the specific purpose intended will be at the Owner's sole risk and without Ilebllity or legal exposure to the Eng€neer/Surveyor; and the Owner shall Indemnify and hold harmless the Englneer/Surveyor from all claims, damages, losses, and expenses including attorneys fees arising nut of or resulting therefrom. Any such verification or adaptation will entitte the Engineer/Surveyor to further compensation at rates to be agreed upon by the Owner and the Engineer/Surveyor. d. Opinion of Probable Cost Statements of probable construction costs and detailed cost estimates prepared by the Engineer/Surveyor represent his Judgment as a design professional familiar with the construction industry. It Is recognized, however, that the Engineer/Surveyor has no control over the cost of labor, materials or equipment, over the Contractor's methods of determining bid prices, or over competitive bidding or market conditions. Accordingly, the Engineer/Surveyor does not guarantee that any actual cost will not vary from any cost estimate prepared by the Engineer/Surveyor, e. Certificate of Merit. The Owner shall make no claim (whether directly, in the form of a third -party claim, or for Indemnity) against the Engineer/Surveyor unless the Owner shall have first provided the Engineer/Surveyor with a written certification executed by an Independent Engineer/Surveyor licensed in Iowa to practice in the same discipline as the Engineer/Surveyor specifying those acts or omissions which the certifier contends constitutes a violation of the standard of care expected of an Engineer/Surveyor performing professional services under similar circumstances and upon which the claim will be premised. Such certification shall be provided to the Engineer/Surveyor thirty (30) days prior to the presentation of, and shall be a precondition to any such claim or the Institution af, any arbitration or judicial proceeding. f. fobslte Safety. Neither the professional activities of the Engineer/Surveyor, nor the presence of the Engineer's/Surveyor's employees and subconsuttants at a construction site, shall relieve the General Contractor and any other entity of their obligations, duties and responsibilities, including, but not limited to, construction means, methods, sequences, techniques, or procedures necessary for performing, superintending, or toordlnating all portions of the work of construction in accordance With the Contract Documents and any health or safety precautions required by any regulatory agencies. The Engineer's/Surveyor's personnel have no authority to exercise any control over any construction contractor ar other entity or their employees In connection with their work or any health or safety precautions. The Owner agrees that the General Contractor Is solely responsible for jobsite safety. g. Successors and Assigns, Thts Agreement and all of the covenants hereof shall Inure to the benefit of and be binding upon the Owner and the Engineer/Surveyor, respectively, and his partners, successors, assigns, and legal representatives, Neither the Owner nor the Engineer/Surveyor shall have the right to assign, transfer, ar sublet his interest or obligations hereunder without written consent of the other parry. h. Construction Observation. If Included In tine Agreement, the Engineer shall visit the site at Intervals approprlate to the stage of construction, or as otherwise agreed in writing by the Owner and the Engineer, In order to observe the progress and quality of the Work completed by the Contractor. Such visits and observation are not intended to be an exhaustive check ar a detailed Inspettton of the Contractor's work, but rather are to allow the Engineer, as an experienced professional, to become generally familiar with the Work In progress and to determine, in general, If the Work is proceeding in accordance with the Contract Documents, Based on this general observation, the Engineer shall keep the Owner Informed about the progress of the Work and shall endeavor to guard the Owner against deficiencies In the Work, 11 the Owner desires more extensive project observation or Fulltime project representation, the Ownershatl request that such services be provided by the Engineer es Additional Services in accordance With the terms of this Agreement. The Engineer shall not supervise, direct or have control over the Contractor's work, not have any responsibility for the construction means, methods, techniques, sequences or procedures selected by the Contractor nor for the Contractors safety precautions ar programs in connection with the Work. These rights and responsibilities are solely those of the Contractor In accordance with the Contract Documents. The Engineer shall not be responsible for any acts or omissions of the Contractor, subcontractor, any entity performing any portions of the Work, or any agents or employees of any of them. The Engineer does not guarantee the performance of the Contractor and shall not he responsible for the Contractors failure to perform Its Work In accordance with the Contract Documents or any applicable laws, codes, rules or regulations. S. shop Drawing Review, The Engineer shall review and approve or take other appropriate action on the Contractor submittals, such as shop drawings, produtt data, samples and other data, which the Contractor Is required to submit, but only for the dratted purpose of checking for conformance with the design concept and the Information shown in the Construction Documents. This review shall not Include review of the accuracy or completeness of details, such as quantities, dimensions, weights or gauges, fabrication processes, construction means or methods, coordination of the work with other trades or construction safety precautions, all of which are the sole responsibility of the Contractor. The Engineers review shall be conducted with reasonable promptness while allowing sufficient time In die Engineers Judgment to permit adequate review. Review of a specific item shall not Indicate that the Engineer has reviewed the entire assembly of which the Item is a component. The Engineer shall not be responsible for any deelatlons from the Construction Documents not brought to the attention of the Engineer In writing by the Contractor. The Engineer shall not be required to review partial submissions or those for which submissions of correlated Items have not been received, Page 87 of 288 ATTACHMENT 'B' Rate Schedules Page 88 of 288 Hourly Rate Schedule Clapsaddle-Garber Associates, Inc. The following hourly rates shall be effective through December 31, 2016. Engineer/E.I./L.S.I. 1 $77.50 Technician 1 $37.00 E.I./L.S.I. 2 $86.00 Technician 2 $41.00 E,L/L,S.L. 3 $9L00 Technician 3 $46.00 E.I./L.S.I. 4 $96,50 Technician 4 $56.00 Technician 5 $61.00. P.E.1 $105.00 Technician 6 $66.00 P,E.2 $122,50 Technician 7 $72.00 P.E.3 . $132.50 Technician 8 $82.00 P.E,4 $140,00 Technician 9 $89.00 P.E, 5 .. $150.00 Technician 10 $96.50 P.L.S. 1 .$100.00 Associate 1 $35.00 P.L.S.2 ..,..$115,50 Associate 2 $50.00 P.L.S. 3 ....$122,50 Associate 3. $60.00 P.L;S.4 .$135.00 Associate 4 $71.00 Associate .5 $85.00 Principal $1.80.00 Associate 6 $95.00 Associate 7 $110.00 Survey Crew (One Person) $93.00 Survey Crew (Two Person) .$138.00 Expenses; In addition to the above hourly labor rates, expenses shall be reimbursed in accordance with the following. Vehicle mileage shall be reimbursed at $0.60 per mile for automobiles/light trucks and $1.00 per mile for survey equipment vehicles; ATV's shall be reimbursed at $55 per day, Total Station/GPS survey equipment shall be reimbursed at $10 per hour and office CAD equipment at $5 per hour, All other expenses incurred in connection with the services provided shall be reimbursed at the rate of theactual costs incurred. Page 89 of 288 ATTACHMENT `C Project Site Page 90 of 288 Page 91 of 288 CITY OF WATERLOO Council Communication Approve the project budget for the Library General donations project funded with an initial donation of $11,466.79, anticipated to be used for building improvements, as submitted by the Library. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Library ATTACHMENTS: Description a ...Department Re( gnu ;sts SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Reviewer E l igliny; Nancy Action Approved Type ➢::tnuuigct Ainnendnnent Date 1/5/2017 12:0 Approve the project budget for the Library General donations project funded with an initial donation of $11,466.79, anticipated to be used for building improvements, as submitted by the Library. Submitted By: Page 92 of 288 PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Effie Abben Estate City Contract No Project Manager Project Budge{ Total Steven Nielsen, Director $ 11,466 79 1 How wII this project be funded7 A. Federal Grant Yes Grant Name B. State Grant Grant Name CCity Match D. Other Entities Name No � CFDA # Yes No Source of Funding Yes x N� | 1 Private donation To be assigned by the Finance Depf,In Project No. 33G�'e�~ / Subproject No. No. ~ % Paid by federal gran Grant Agreement Number % Paid by state grant Grant Agreement Number Y4 Paid by City % Paid by other entity 2 Attach copes of any grant agreements that wiU 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 io purchase real property to this document? 4. Will this project incude any non -participating expenses, such as: AStormwater permit fees B Rubtication, or printing costs C Others, list 5. Does this project cover any regular full-tirne salaries or benefits? If yes, employee/position to be covered. 6` Include a brief description of the project in the space below: (REQUIRED) This is a library gift from the Effie Abben Estate. 0.00% O 00% 100.00% Done None Yes No x [ x x x x � Page 2 must be attached and signed. userpw"mr|em^ uven,wo=Page 1 At Projects (Mar 2010) Page 93 of 288 PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) Effie Abben Estate Department No. project will be budgeted under 33 Activity No. project will be budgeted under 3160 REVENUES: 3000 Cash on I -land 3350 Federal Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds 3800 Miscellaneous Revenue EXPENDITURES: To be assigned by the Finance Dept. GFT LIBRARY Project No, Subproject No. (Each column should onty include amounts by fund) Fund: 010 Fund: Fund: Fund: 11,466 79 TOTALS $ 11,466.79 1382 Bldg improvements 11,466.79 , ) (S, li nature Dept. Hea / TOTALS 11,466 79 $ Date Totat 11,466.79 $ $ 11,466 79 11,466.79 $ 11,466.79 igna u e Finance Dept. Review users rnichelle-Mforrns\project-worksheets-abben-effie\Page 2 (Donat-non constr) (Mar 2010) Page 94 of 288 • Mame Cheryl Lutlers 1871 Stone Gate Cir, Unit r Davenport, EA 52807 Pay to the Order of PL.L.66L 72-2259!739 Date ces I $ 1/1/14 7 �( Nbollars n n; „ i:3 on 01 £COMMU ITY ��-- a�uvtc y P, a TRUST T For 1.0?392 L9 L00910ll° t-Ut U cx rLc� r • Page 95 of 288 DOUGLAS V. COONRAD Senior attorney MICHAEL D. YOUNGBLUT OR counsel COONRAD LAW FIRM ATTORNEYS AT LAW 315 5TH STREET PO BOX 476 HUDSON, IOWA 50643-0476 November 14, 2016 To the beneficiaries of the Effie Abben Estate; Tel. (319) 988-3011 Tel. (319) 988-4336 FAX (319) 988-3011 As I promised in my previous letter, I enclose for each of you your copy of the Final Report and Accounting. It explains what became of the assets listed on the Probate Inventory and shows all receipts and disbursements since the estate was opened. It then proceeds to show the share each of you should receive if all goes smoothly as we close the estate. There are a number of things which are being done simultaneously in order that we keep things moving with a goal of making distribution to you by the end of November. First, we have filed and paid the Iowa Inheritance tax, but are awaiting a tax clearance from the Iowa Dept. of Revenue. Secondly, we have liquidated what we believe are all of the assets and have obtained figures from the court for attorney fees and expenses, executor fees, and court costs. With this information, we filed federal and Iowa income tax returns for the estate and were also able to prepare the Final Report and Accounting. Before we can close the estate, the Iowa Dept. of Revenue once again needs to give us a clearance, this time for the income tax return. I am anticipating that all will go smoothly and enclose for each of you a K-1 form. This form was generated because the estate expenses exceeded its income during the time that it was open. The K-1 form lets you deduct the excess expenses from your 2016 income tax returns. The sheet attached to the K-1 form tells you how to do that. You should give the form to your tax preparer. Next, I note that you received a copy of the Notice of Probate in July. The deadline for anyone to contest the will or file a claim against the estate was October 16. We do not anticipate any such contest or claim, but we did have to serve this notice upon you in addition to publishing it. Finally, f am enclosing a Receipt and Waiver form. )1 need each of you to sign and return it to me if you agree with the Final Report and Accounting and are not requesting a court hearing. These need to be filed and we need court approval to close the estate before we can distribute your final share to you. Thank all of you for your patience and cooperation as Cheryl and I worked our way through the probate process. It has been our pleasure to serve Effie in this way. 1) Douglas V. Coonrad Page 96 of 288 IN THE DISTRICT COURT OF IOWA IN AND FOR BLACK HAWK COUNTY IN THE MATTER OF THE ESTATE OF EFFIE ABBEN, DECEASED. PROBATE NO. ESPR 061021 FINAL REPORT AND ACCOUNTING COMES NOW Cheryl Ann Luders, the Fiduciary of the above entitled Estate, and for Final Report and Accounting states to the Court: 1. That said person is the duly appointed, qualified and acting Fiduciary in this Estate. 2. That the Decedent died testate on May 17, 2016, a resident of Black Hawk County, Iowa, in said County; and that more than four months have passed since the last publication of notice to creditors. 3. That Exhibit "A" attached hereto and made a part hereof sets forth all information in compliance with the provisions of Section 477 of the Iowa Probate Code. 4. That attached hereto is Exhibit "B", which is a complete accounting of all receipts and disbursements of this estate. The expenses of the Decedent's last illness and burial and all charges of this estate have been paid and disposed of. All known debts have been paid. Upon approval of this Final Report, the remaining assets will be distributed to the beneficiaries as set out in Exhibit "B". S. That at the time of death, the Decedent held no real estate interest. 6. That there is no federal estate tax or Iowa inheritance tax due and are no income taxes due the State of Iowa. There are further no personal property taxes due Black Hawk County. 7. That an Iowa inheritance tax return was filed and the tax was paid. 8. That the attorney for the estate has advised the Fiduciary of the right to request an itemization of services performed, time spent and responsibilities assumed by counsel. The Fiduciary does not request such an itemization and relies upon the content of the Court probate file. 9. That the beneficiaries of this estate are adults under no legal disability and have signed Receipt and Waivers in which they waive accounting by the Fiduciary and waive notice and hearing on this Final Report. Page 97 of 288 10. That a reasonable diligent effort has been made to ascertain the existence of claims against the Decedent. In accordance with Section 304 of the Iowa Probate Code, notice has been given by ordinary mail to each person believed to own or possess a claim (if that claim is not being paid during the administration) against the estate of the deceased and to each person who would take if the estate passed by intestate succession and each devisee under the Will at such persons` last known address notifying these persons that any action to set aside probate of the Will or bring a claim against the estate must be brought within the latter to occur of four months of the second date of publication of notice or one month from the date of mailing of this notice or be forever barred. All known debts and allowed claims, including charges, have been paid and no lien continues to exist on any property of the estate as security for any claim. There is no surviving spouse. WHEREFORE, the Fiduciary prays that the Court approve this Final Report and Accounting confirming the acts of the Fiduciary; that the distribution of assets be approved; and that the Fiduciary be discharged from further duties and this estate be settled and closed. STATE OF IOWA ) ss. COUNTY OF BLACK HAWK for 1, Cheryl Ann Luders, being first duly sworn on oath, depose and state that 1 am the Executor of the Estate of Essie Abben, Deceased, and that 1 have read the foregoing Final Report and Accounting and know the contents thereof and state that the same are true and correct as 1 verily believe. Subscribed and sworn to before me by Cheryl Ann Luders on /12)1a/2016. Notary iblic for the State of Iowa a4.1ArLef)-tewl =71 Lig n ti z JWP*„ N•• AMY BRAUER Commission Number 794886 My Commission Ex kas March 3, 2019 Page 98 of 288 ESTATE OF: Effie Abben EXHIBIT "A" In compliance with the provisions of Section 477 of the Iowa Probate Code, the following data is submitted and by this reference made a part of the final report of this personal representative. l Description of real estate of which decedent died seized and which has not been sold and conveyed by the personal representative (stating the nature and extent thereof): none 2. Decedent died testate 3. Did decedent leave a surviving spouse? no 4. (in testate estates) Devisess Ascension Lutheran Church Waterloo Public Library YWCA Cedar Valley Arboretum Waterloo Municipal Band Cedar Valley Hospice Christian Crusaders Cheryl Ann Luders Marjorie Elaine Werner Dianne Marie Weldon After -born Children (as defined Residence 2211 Maynard Ave. Waterloo, IA 50701 415 Commercial St. Waterloo, IA 50701 425 Lafayette St. Waterloo, IA 50703 1927 E. Orange Rd Waterloo, IA 50701 225 Commercial St. Waterloo, IA 50701 2101 Kimball Ave. #410 Waterloo, IA 50702 7401 University Ave. Cedar Falls, IA 50613 1871 Stonegate Circle, Unit 2 Davenport, IA 52807 15543 Banyan Lane Eden Prairie, MN 55347 1624 NW Prairie Lakes Dr. #8 Ankeny, IA 50023 in Code Section 267) none Relationship none none none none none none none niece niece niece 5. Does any legacy or devise remain a charge on the real estate? no 6. Is any distributee under any legal disability? no 7. Name of the conservator or trustee for any distribute: none 8. An itemized accounting of all moneys and personal property coming into the hands of this personal representative is attached hereto. 9. Have all statutory requirements pertaining to taxes been complied with? yes Page 99 of 288 ESTATE OF: Effie Abben EXHIBIT "B" 1. The items listed on Schedule B of the Probate Inventory were paid to the estate and became estate assets. 2. The items listed on Schedule C of the Probate Inventory were paid to the estate and became estate assets. 3. Prudential insurance policy #77 305 893 listed on Schedule D of the probate inventory was paid directly to beneficiary James Warren Luders and never became an estate asset. 4. Prudential insurance policy #M06 158 705 listed on Schedule D of the probate inventory was paid to Kearns Funeral Home to pay funeral expenses and the remaining $4,534.42 was paid to the estate and became an estate asset. 5. The household goods and personal effects listed on Schedule F of the probate inventory were of minimal value and were given to charity. They did not become estate assets. 6. The two Thrivent Financial annuities listed on Schedule J of the Probate Inventory were paid to the named beneficiaries and never became estate assets. 7. The following is an accounting of all estate assets and disbursements and listing of how the assets of the estate will be distributed. RECEIPTS: From Schedule B From Schedule C From Schedule D Community Bank interest Earnings on the two Northwestern Mutual accounts from Schedule B Earnings on the two Thrivent mutual funds from Schedule C TOTAL RECEIPTS $144,036.09 87,167.95 4,534.42 19.22 3,661.85 2,219,86 $241,639.39 DISBURSEMENTS: 1. IA inheritance tax paid for individual shares as shown on the following sheets $ 13,685.00 (NOTE: Cheryl Luders paid the tax for the 5 children listed) 2. Attorney fees and expenses 6,638.38 3. Executor fees 5,088.38 4. Court costs 537.00 5. Publication fee 39.87 TOTAL DISBURSEMENTS $ 25,988.63 Page 100 of 288 RECEIPTS $241,639.39 DISBURSEMENTS 25,988.63 BALANCE TO DISTRIBUTE $215,650.76 NOTE: In order to determine how much to distribute to each entity, we must exclude from disbursements the inheritance tax paid by each and then multiply the remaining disbursements ($12,303.63) by the percentage of the estate to be received by each entity. Calculation of each share is noted on the following sheet. Page 101 of 288 Name Percentage Share of Share of Inheritance Final Estate Expenses Tax Amount 1. Ascension Lutheran Church 15% 36,245.91 1,845.55 0 34,400.36 2211 Maynard Ave. Waterloo, IA 50701 2. Waterloo Public Library 5% 12,081.97 615.18 0 11,466.79 Waterloo, IA 50701 3. YWCA 15% 36,245.91 1,845.55 0 34,400.36 425 Lafayette St. Waterloo, IA 50703 4. Cedar Valley Arboretum 1% 2,416.39 123.04 0 2,293.35 1927 E. Orange Rd Waterloo, IA 50701 5. Waterloo Municipal Band 5% 12,081.97 615.18 0 11,466.79 225 Commercial St. Waterloo, IA 50701 6. Cedar Valley Hospice 2% 4,832.79 246.07 0 4,586.72 2101 Kimball Ave. #410 Waterloo, IA 50702 7. Christian Crusaders 2% 4,832.79 246.07 0 4,586.72 7401 University Ave. Cedar Falls, IA 50613 8. Cheryl Ann Luders 35% 84,573.78 4,306.27 8,971 71,296.51 1871 Stonegate Circle, # 2 Davenport, IA 52807 9. Marjorie Elaine Werner 10% 24,163.94 1,230.36 2,357 20,576.58 15543 Banyan Lane Eden Prairie, MN 55347 10. Dianne Marie Weldon 10% 24,163.94 1,230.36 2,357 20,576.58 1624 NW Prairie Lakes Dr. #8 Ankeny, IA 50023 TOTALS 241,639.39 12,303.63 13,685 215,650.76 Page 102 of 288 Schedule K-1 (Form 1041) Department of the Treasury Internal Revenue Service 8015 For calendar year 2015, or tax year beginning s// r% , 201 and ending ft/t,“ 20 /6' Beneficiary's Share of Income, Deductions, Credits, etc. 0- See back of form and instructions. Final K-1 Amended K-1 66Z113 OMB No. 1545-0092 to Part 111 ,} 4t`.+ iOfficOttirrorit Yo r hicarrer > of t _a cli tic Othertferiris 1 Interest income 11 Final year deductions a Ordinary dividends 2b Qualified dividends Net short-term capital gain A Estate's or trust's employer identification number ;/ 5-1JOil o0 4a Net long-term capital gain 114 R ,6-L` B Estate's or trust's name 4b 28% rate gain c Unrecaptured section 1250 gain C Fiduciary's %name, address, city, state, and ZIP code d ate, / Lu ov / ' 71 57 y C: 6, 14;1 Det v -C Gt , i r.�{ .. L 5.07 5 Other portfolio and nonbusiness income 6 Ordinary business income Net rental real estate income 12 Alternative minimum tax adjustment Other rental income Check if Form 1041-T was filed and enter the date it was filed Check If this is the final Form 1041 for the estate or trust Directly apportioned deductions 3 Credits and credit recapture Part Il 0- - � *.kei ' ,,4 'i€ -; F Beneficiary's identifying number 41z6'u05"3.7 0 Estate tax deduction fl Beneficiary's name, address, city, state, and ZIP code 17. h('& 1; Je r1Yr 4/ 3 Q s9t j6?P/`"Gi'Lr7 -577 `✓ty41. 1-11E-4'741 14 other information *See attached statement for additional information. Note. A statement must be attached showing the beneficiary's share of income and directly apportioned deductions from each business, rental real estate, and other rental activity. Domestic beneficiary 11 Foreign beneficiary For IRS Use Qni For Paperwork Reduction Act Notice, see the Instructions for Form 1041. IRS.gov/form1041 Cat. No. 113800 Schedule K-1 {Form 10410 2015 Page 103 of 288 Schedule K-1 (Form 1041) 2015 Page 2 This list identifies the codes used on Schedule K-1 for beneficiaries and provides summarized reporting information for beneficiaries who file Form 1040. For detailed reporting and filing information, see the Instructions for Schedule K-1 (Form 1041) for a Beneficiary Filing Form 1040 and the instructions for your income tax return. 1. Interest income 2a. Ordinary dividends 2b. Quatified dividends 3. Net short-term capital gain 4a. Net Fong -term capital gain 4b. 28% rate gain 4o. Unrecaptured section 1250 gain 5. Other portfolio and nonbusiness income 6. Ordinary business income 7. Net rental real estate income 8. Other rental income 9. Directly apportioned deductions Code A Depreciation B Depletion C Amortization 10. Estate tax deduction 11. Final year deductions A Excess deductions B Short-term capital loss carryover C Long-term capital loss carryover D Net operating toss carryover — regular tax E Net operating foss carryover — minimum tax 12. Alternative minimum tax (AMT) items A Adjustment for minimum tax purposes B AMT adjustment attributable to qualified dividends C AMT adjustment attributable to net short-term capital gain D AMT adjustment attributable to net long-term capital gain E AMT adjustment attributable to unrecaptured section 1250 gain F AMT adjustment attributable to 28% rate gain G Accelerated depreciation H Depletion Amortization J Exclusion items Report on Form 1040, line 8a Form 1040, line 9a Form 1040, line 9b Schedule 0, line 5 Schedule D, line 12 28% Rate Gain Worksheet, line 4 (Schedule D Instructions) Unrecaptured Section 1250 Gain Worksheet, line 11 (Schedule D Instructions) Schedule E, line 33, column (f) Schedule E, line 33, column (d) or (f) Schedule 8, line 33, column (d) or (0 Schedule E, line 33, column (d) or (f) Form 8582 or Schedule 5, line 33, column (C) or (e) Form 8582 or Schedule E, line 33, column (c) or (e) Form 8582 or Schedule E, line 33, column (c) or (e) Schedule A, line 26 Schedule A, line 23 Schedule D, line 5 Schedule D, line 12; fine 5 of the wksht. for Sch. D, line 18; and line 16 of the wksht. for Sch. D, fine 19 Form 1040, Ilne 21 Form 6251, line 11 Form 6251, line 15 See the beneficiary's instructions and the Instructions for Form 6251 2016 Form 8801 13. Credits and credit recapture Code A Credit for estimated taxes B Credit for backup withholding C Low-income housing credit D Rehabilitation credit and energy credit 8 Other qualifying investment credit F Work opportunity credit G Credit for small employer health insurance premiums H Biofuel producer credit I Credit for increasing research activities J Renewable electricity, refined coal, and Indian coal production credit K Empowerment zone employment credit L Indian employment credit M Orphan drug credit N Credit for employer-provided child care and facilities O Biodlesel and renewable diesel fuels credit P Credit to holders of tax credit bonds Q Credit for employer differential wage payments H Recapture of credits 14. Other information A Tax-exempt interest B Foreign taxes C Qualified production activities income D Form W-2 wages E Net investment income F Gross farm and fishing income G Foreign trading gross receipts (IRC 942(a)) H Adjustment for section 1411 net investment income or deductions 1 Other information Report on Form 1040, line 65 Form 1040, line 64 1 J See the beneficiary's instructions Form 1040, lino 8b Form 1040, line 48 or Sch. A, line 8 Form 8903, line 7, col. (b) (also see the beneficiary's instructions) Form 8903, line 17 Form 4952, line 4a Schedule 0, line 42 See the Instructions for Form 8873 Form 8960, line 7 (also see the beneficiary's instructions) See the beneficiary's instructions Note. If you are a beneficiary who does not file a Form 1040, see instructions for the type of income tax return you are filing. Page 104 of 288 IN THE IOWA DISTRICT COURT FOR BLACK HAWK COUNTY IN THE MATTER OF THE ESTATE OF Probate No. ESPR 061021 EFFIE ABBEN, RECEIPT AND WAIVER OF NOTICE Deceased The undersigned has received from the fiduciary in the above entitled matter, all money and property to which entitled. Without lirniting the generality for the foregoing, no other money or property is payable or deliverable to the undersigned from the fiduciary as share, Legacy, claim, allowance, fees, rentals, proceeds of life insurance, joint tenancy property, survivorship property documents of ownership, title or transfer, abstracts, fire insurance policies or other right or interest in or to said estate, due or to become due or deliverable from the above entitled estate or from the fiduciary or otherwise. The undersigned has received and read a copy of the Final Report herein and hereby approves and ratifies the same and the doings of the fiduciary as therein set forth. The undersigned hereby specifically waives notice of the hearing of the Final Report of the fiduciary of said estate, waives further accounting and production of vouchers, and consents to the approval of his report, to the closing of said estate, and to the release of any bondsman upon any official surety bond, as may herein appear of record, at any time without further notice. The undersigned agrees unless otherwise provided by the decedent, or by law, to refund to the fiduciary at the county seat of the above named county, a pro rata portion of this property, inheritance, bequest, or devise, when and if found necessary, to pay the pro rata portion of the undersigned of any taxes found due from undersigned, the decedent or the estate upon completion of audits by tax authorities. Page 105 of 288 CITY OF WATERLOO Council Communication Approve the project budget for the 120 Center Street Hazardous Materials Inspection project, funded with an $18,000 grant from the Iowa Department of Natural Resources, as submitted by the Planning & Zoning Department. City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department ATTACHMENTS: Description a .:.Department Re quests SUBJECT: Submitted by: Recommended Action: Summary Statement: Expenditure Required: Source of Funds: Policy Issue: Alternative: Background Information: Reviewer ltiglby; Nancy Action Approved Type ➢::truniget A. 'Tr. snit Date 1/5/2017 ... Approve the project budget for the 120 Center Street Hazardous Materials Inspection project, funded with an $18,000 grant from the Iowa Department of Natural Resources, as submitted by the Planning & Zoning Department. Submitted By: Page 106 of 288 Project Name City Contract No. Project Manager Project Budget Total PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE HazMat Inventory - 120 Center St 17-7540-09 Noel Anderson $ 18,000.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name X CFDA # 8. State Grant Yes Grant Name C. City Match D. Other Entities Name X No % Paid by federal grant Grant Agreement Number % Paid by state grant 100.00% IDNR HazMat Inventory - 120 Center St Grant Agreement Number 17-7540-09 Source of Funding Yes No % Paid by City % Paid by other entity 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. 6. Include a brief description of the project in the space below: (REQUIRED) Proper inspection & documentation of potentially hazardous materials and waste stored or depoisted within the building and grounds at this site address. This information will assist the city in planning for necessary cleanup and environmental remediation costs Done None ❑ n Yes No ❑ n IT ❑ El ❑ ❑ ❑ ❑ ❑ 0 X Page 2 must be attached and signed. Kashared gooctieslforms1120 Center.xls\Page 1 All Projects (Mar 2010) Page 107 of 288 Page 108 of 288 PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO Project Name (from page one) HazMat inventory - 120 Center St, Department No, project will be budgeted under 08 City Clerk Use Only Finance Committee Approval Date Activity No. project will be budgeted under 6100 REVENUES: 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds EXPENDITURES: To e.:00,1 tied by the FrnaeDeIfr Pr'.0f$t (Each column should only include amounts by fund) Fund: 290 Fund: 414 Fund: Fund: 18,000.00 //4 4/4 gignOmityNO11 Total 18,000.00 TOTALS 18,000.00 18,000.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 2103 Eng & Consulting 2106 Nuisance/Demo 18,000.00 TOTALSI, 18,000.00 7 6 (Signature Dept. Head Date 18,000.00 $ $ 18,000.00 /4f,M,{ //A J/4,./(2,02/1 (Signature Finance Dept. Review) K:\sbared goodies\forms1120 Center.xlskPage 2 (Donat or NON-constr) (Mar 2010) / 7 Date Page 109 of 288 Page 110 of 288 IOWA BROWNFIELD REDEVELOPMENT PROGRAM COMMUNITY ASSISTANCE GRANT CONTRACT IOWA DEPARTMENT OF NATURAL RESOURCES Contractor: City of Waterloo Contract Number: 17-7540-09 Contract Title: HazMat inventory —120 Center St. Contract Amount: Actual price — not to exceed $18,000 Federal ID Number: 42-6005327 Contractor Officer: Chris Western Contractor Email Address: Chris.western@waterloo-ia.org DNR Project Officer: Mel Pins, 515-725-8344 Distribution Copies: Land Quality Bureau Copy One — IDNR Copy Two — Contractor Brownfield Redevelopment Program Time of Performance: August 10, 2016 -- October 1, 2016 Time of Final Documentation: .November 1, 2016 Term of Contract: December 1, 2016 Submit Reporting Forms and Claim Vouchers To: Issue Payment To: Mel Pins Land Quality Bureau Iowa Department of Natural Resources 502 E. 9th Street Des Moines, Iowa 50319-0034 City of Waterloo 715 Mulberry St. Waterloo, Iowa 50703 Page 111 of 28 120 Center St -- HazMat Inventory Contract 17-7540-09 Page 2 of 11 SPECIAL CONDITIONS AND GENERAL CONDITIONS The Contractor shall deliver all information and complete all tasks detailed in the Special Conditions, The rights and obligations of the parties to this Contract shall be subject to and governed by the Special Conditions, the General Conditions, and the Appendices. To the extent of any inconsistency between the Special Conditions, the General Conditions, and the Appendices and any specifications or other conditions that are made a part of this Contract by reference or otherwise, the provisions of the Special Conditions and the General Conditions shall control. To the extent of any inconsistency between the Special Conditions and the General Conditions, the provisions of the Special Conditions shall control. SPECIAL CONDITIONS ARTICLE I. IDENTIFICATION OF PARTIES, PROJECT, AND PROJECT AREA This Contract is by and between the City of Waterloo (hereinafter referred to as the Contractor) and the Iowa Department of Natural Resources (hereinafter referred to as the Department) for the purpose of assisting in cost and activities to conduct an inventory and assessment of potentially hazardous materials and wastes that are stored or deposited within the building and property at the following area: The Project Area is, at a minimum, defined as the contiguous parcels of land addressed as 120 Center St., and any and all buildings or structures therein, located within the corporate limits of the City of Waterloo, Black Hawk County, Iowa. It is the intent of the Contractor to prepare the site for economic redevelopment, subject to environmental findings and recommendations from this inventory and other related assessment work that may be anticipated. ARTICLE 11. DESIGNATION OF OFFICIALS 2.1 Department. The Deputy Director of the Department shall execute any changes in the terms, conditions, or amounts specified in this Contract. Mel Pins shall negotiate on behalf of the Department and, subject to the approval of the Deputy Director, make any changes to this Contract. 2.2 Contractor. The Contractor Officer is authorized to execute any changes in the terms, conditions, or amounts specified in this Contract. 2.2 Key Contract Personnel. Mel Pins, Executive Officer, Iowa Department of Natural Resources, 515-725-8344 Chris Western, City Planner, City of Waterloo, 319-291-4366 Page 112 of 288` 120 Center St -- HazMat Inventory Contract 17-7540-09 Page 3 of 11 ARTICLE III. TIME OF PERFORMANCE, TERM OF CONTRACT 3.1 Time of Performance. The Contractor shall commence work under this Contract on the beginning date and complete contract tasks by the ending date, as set forth in this Contract unless changed by mutual written agreement. Contract tasks include all actions and/or submittals required of the Contractor in accordance with this agreement. This contract shall not cover work, costs, or other expenses not referenced within this contract. 12 Term of Contract. The Contract remains open for the Term of Contract as stated on the title page of this Contract. The Contract and all obligations of the Department contained herein may be terminated upon the occurrence of one of the following: a) the Contract is terminated due to any default under Section 11 of the General Conditions; or b) no claims for reimbursement are submitted prior to the Term of Contract. ARTICLE IV. SCOPE OF WORK 4.1 Project Description. The project shall consist of the proper inspection and documentation of potentially hazardous materials and waste stored or deposited within the building and grounds at this address provisions, to assist in providing the grant recipient with direction and cost estimates for proper handling and disposal of such wastes; this information will assist the City in planning for necessary cleanup costs and environmental remediation costs that will be anticipated. 4.2 Permitting and Quality Assurance. The Contractor shall ensure that the completion of the project description, and all services or work therein, complies with the most recent edition of any relevant regulations, standards, documents or code that may be in effect. Where conflict among the requirements or with these Specifications exists, the most stringent requirements shall be utilized. 4.3' Milestones: The contractor shall accomplish the activities listed in the Project Milestones by the assigned date. If changes are required, the contractor must contact the Department in writing and receive approval of the amendment in writing. PROJECT MILESTONES Completion Date Activity October 1, 2016 Completion of Hazardous Materials Inventory at the Project Area November 1, 2016 Submittal of completed Inventory report and copy of invoice Page 113 of 288 120 Center St — HazMat Inventory Page 4 of 11 Contract 17-754009 4.4 Project Budget: The Department agrees to pay the Contractor for expenses incurred for the Project in the amounts stated in the budget outlined on this page, not to exceed the Contract Amount indicated on the title page of this Contract. Expenses shall be paid only for those costs invoiced to the Contractor by the selected consultant, and if such costs are less than the Price Not to Exceed, the contractor shall not make any further claim for any remaining budget amounts not expended within the invoice provided. ITEM Price not to exceed Hazardous Material/Waste Inventory, Testing, Characterization, and all Reporting Actual price, not to exceed $18,000.00 4.5 Budget Amendments: The Contractor shall request any budget deviations between any existing budget line items. The Contractor shall provide the Department a written request of the proposed budget deviation. The proposed revised budget can not exceed the contract award amount as identified on the title page of the contract and local match requirements must be maintained. This written notice shall include: a) a statement of the reason(s) the budget deviation is requested and the impact on the intent of the project; b) a revised budget indicating affected budget line items The Department will respond in writing to the request. Expenses can not occur relating to the revised budget until the Contractor receives an approval letter from the Department. 4.6 Claim Submittal Procedure: The Contractor shall submit: a) a request letter stating that the expenses have been incurred, the amount of the expenses, and that the Contractor is requesting reimbursement payment per the terms of the contract. b) Copy of the HazMat Inventory/Testing report, either in hard copy or electronic version in PDF. c) Copy of the invoice received from the environmental consulting firm used by the Contractor, with expenses categorized and described for all testing, characterization, field and personnel expenses, and reporting and documentation. Claim submittals should be sent to: Mel Pins Iowa Department of Natural Resources Wallace State Office Building 502 E. 9th Street Des Moines, Iowa 50319-0034 Page 114 of 288 120 Center St-- HazMat Inventory Contract 17-7540-09 Page 5 of 11 Claims must be submitted within forty-five (45) days of the date of the oldest attached invoice. It is recommended that the Contractor submit claims as expenses are incurred Claims shall be made only on items listed in the project budget outlined in section 4.4 of this contract. 4/ Funding. The Department will process claims for payment within thirty (30) working days provided: a) all required documentation is attached; b) all Contractor requirements (including local, state, and federal statutes, ordinances, rules, and regulations), to date, are completed to the satisfaction of the Department; and c) The Contractor is accomplishing Project Milestones identified in Article IV to the satisfaction of the Department. If any of these conditions is not met, the Department will notify the Contractor of the deficiencies and the Department may return the canceled claim voucher to the Contractor. A new claim voucher may be submitted to the Department for payment once Contract requirements are met. ARTICLE V. REVIEW OF WORK The Department or its advisors shall have the right to review and observe at any time, completed work or work in progress on the Project. 5.1 Milestones: Milestone activities must be met by the assigned date. If the assigned date needs to be amended, prior written Department approval must be received. Failure to accomplished milestones by contracted or amended dates may result in any or all of the following: 1. Claims based on such work not completed will not be paid by the Department, or; 2. The Department terminates the Contract and declares the entire unpaid grant balance to be non -claimable by the contractor. 5,2 Budget: Execution of this Contract is certification that existing in-kind local match, as represented in the project budget is true, correct, and accurate. Falsely represented in-kind local match may result in any or all of the following: 1. The Department terminates the Contract and declares the entire unpaid of grant balance to be non -claimable by the contractor, and previous claims paid by the department shall be refunded by the contractor. Page 115 of 288 120 Center St — HazMat Inventory Contract 17-7540-09 Page 6 of 11 5.3 Project Failure. In the event that the Project fails or ceases operations as originally proposed during the Term of Contract and without prior Department approval the Department may: 1. The grant portion of the award will revert to a zero interest loan. 2. The Department terminates the Contract and declares the entire paid or awarded grant balance and costs of collection immediately due and payable. 3. The Department may repossess all nonexpendable tangible personal property used in the performance of this Contract. 5.4 Funding for this Project is subject to the continued financial support of the State of lowa. if the State discontinues funding, this Contract may be terminated or amended by the Department. 5.8 Ninety (90) days after the end of the Time of Performance the Department shall de -obligate any un -used award monies from the Project. ARTICLE VL INSURANCE 6.1 The Contractor shall submit to the Department a copy of the Contractor's Certificate of Insurance and a written statement to attest that the Contractor holds an adequate level of insurance to insure items funds. This documentation shall be submitted before the time of purchase of grant and/or loan funded items unless approved by the DNR Project Officer. 6.2 The Department or its advisors shall have access for the purpose of examination of any insurance policy and associated records regarding insurance coverage of any item purchased or constructed using funds under this Contract. 6.3 The Contractor shall maintain an adequate level of insurance for the period set forth under Term of Contract. GENERAL CONDITIONS SECTION 1. ENTIRE AGREEMENT This Contract with all attachments and references constitutes the entire Agreement between the Department and the Contractor with respect to the subject matter hereof, and the Contractor acknowledges that it is entering into the Contract solely on the basis of the terms and conditions herein contained and not in reliance upon any representative statement, inducement or promise, whether oral or written, not contained herein. SECTION 2. AMENDMENT The Department or the Contractor may initiate an amendment to this Contract. Any amendment is effective only if in writing and agreed to by the Department and the Contractor. The amendment shall be effective as of the date it is agreed upon, unless otherwise specified in the amendment. Page 116 of 288 120 Center St — HazMat Inventory Contract 17-7540-09 Page 7 of 11 SECTION 3. AVAILABILITY OF DATA All information and data obtained by the Contractor in connection with the Contract shall be made available to the Department. Such information and data shall become the property of the Department except that which is necessary for the patent or copyright purposes of the Contractor. SECTION 4. ASSUMPTION OF RISK AND LIABILITIES The Contractor shall assume all risks and liabilities in connection with the performance of the Contract and shall be responsible for all claims, demands, action or causes of action of whatever nature or character arising out of or by reason of the execution or performance of the work provided for herein, except to the extent caused by the State of Iowa. The Contractor shall indemnify and hold harmless the Department, its employees, agents or representatives, and the State of Iowa from all claims, demands, actions or causes of actions, arising out of or by reason of the execution or performance of the work provided for herein, and shall be responsible for all attorney fees, costs and expenses incurred by the Department, its employees, agents or representatives and the State of Iowa, except to the extent caused by the State of Iowa. SECTION 5. TRANSFER OF WORK The Contractor shall not transfer or assign any part or portion of the work on the Contract without the prior written consent of the Department. SECTION 5. REVIEW OF WORK The Department shall have the right to review and observe, at any time, completed work or work in progress on the Contract. SECTION 7. COMPLIANCE REQUIREMENTS The contractor shall comply with all local, state, and federal statutes, ordinances, and rules or other requirements applicable to the establishment and operation of the contractor's facility. SECTION 8. ACCOUNTS AND RECORDS 8.1 The Contractor agrees to maintain books, documents, and other records pertaining to all costs and expenses incurred and revenues acquired during this Contract to the extent and in such detail as will properly reflect all costs, direct and indirect, of labor, materials, equipment, supplies and services, and other costs and expenses of whatever nature for which reimbursement is claimed. The Contractor shall be prepared to support charges for salaries and wages by time, attendance and payroll records. 8.2 The Department, State Auditor, or any of their duly appointed representatives, shall have access for the purpose of audit and examination to any books, documents, papers and records of the Contractor which are pertinent at all reasonable times during the period of retention provided for in Sections 8.3, 8.4, and 8,5 below and shall have the right to make copies of excerpts or make other transcriptions thereof, subject to the provisions of 199 Iowa Administrative Code Section 1.9 and Iowa Code Chapter 22. 8.3 All records in the possession of the Contractor pertaining to this Contract shall be retained by the Contractor for the period of five (5) years beyond the ending date set forth under Term of Contract. 8.4 Records relating to any litigation or claim arising out of the performance of this Contract, or costs or expenses of this Contract to which exception has been taken as a result of inspection or audit, shall be retained by the Contractor until Page 117 of 288 120 Center St-- HazMat Inventory Contract 17-7540-09 Page 8 or 11 such litigation, claim, or exception has been finally settled or until five years from the ending date of Term of Contract has expired, whichever occurs later. 8.5 The Contractor, in maintaining Contract expenditure accounts and records and reports, shall make any necessary adjustments to reflect refunds, credits, underpayments or overpayments, as well as any adjustments resulting from any administrative reviews and audits by the United States or by the State of Iowa or by the Contractor. Such adjustments shall be set forth in the financial reports filed with the Department. SECTION 9. UNALLOWABLE COSTS The following costs are unallowable under this Contract: a) Legal expenses for the prosecution of claims against the Department, the State of Iowa, the Federal Government, or any subdivision thereof; b) The difference in costs between first class air accommodations and less than first class air accommodations, unless less than first class air accommodations are not available; c) Bad debts (any losses arising from uncollectible accounts and other claims and related costs); d) Contingencies (contributions to a contingency reserve or any similar provision for unforeseen events); e) Contributions or donations; f) Entertainment (costs of amusements, social activities, and incidental costs relating thereto, such as meals, beverages, lodgings, rentals, transportation, and gratuities); g) Fines and penalties (costs relating from violations of, or failure to comply with federal, state and local laws and regulations); h) Other financial costs (interest on borrowings -- however represented, bond discounts, costs of financing and refinancing operations, and legal and professional fees paid in connection therewith); 1) Insurance premiums and other costs associated with insuring items purchased using loan funds; j) Office equipment such as furniture and computers, etc. SECTION 10. TERMINATION OF CONTRACT 10.1 Termination for cause - The Department may terminate this Contract in whole or in part, at any time before the expiration date, whenever the Department has determined that the Contractor has materially failed to comply with the conditions of the Contract. The Department shall promptly notify the Contractor in writing of the determination and reasons for the termination, together with the effective date. Payments made to the Contractor or recoveries by the Department under Contracts terminated for cause shall be in accord with the legal rights and liabilities of the parties. 10.2 Termination for convenience - The Department or Contractor may terminate the Contract in whole or in part when both parties agree that the continuation of the Contract would not produce beneficial results commensurate with the future expenditure of funds. The two parties shall agree upon the termination conditions, including the effective date and, in the case of partial termination, the portion to be terminated. The Contractor shall not incur new obligations for the terminated portion after the effective date and shall cancel as many outstanding obligations as possible. The Contractor shall prepare and deliver to the Page 118 of 288 120 Center St — HazMat Inventory Contract 17-7540-09 Page 9 of 11 Department copies of a final report, within sixty (60) days, summarizing the work performed and the results obtained to date, together with such information and items which, if the Contract had been completed, would have been required to be furnished to the Department. SECTION 11. PERSONNEL 11.1 Selection - The Contractor represents that it has, or will secure, all personnel required in performing the work and services under this Contract. Such personnel shall not be employees of or have any contractual relationship with the Department. 11.2 Qualification - All of the work and services required hereunder will be performed by the contractor or under its supervision and all personnel engaged in the work shall , be fully qualified and shall be authorized under state and local law to perform such services. 11.3 Change of Key Personnel - Any individual specified by name under the article Key Personnel within the Special Conditions herein is considered essential to the work and services to be performed. If for any reason substitution for a specified individual becomes necessary, the contractor shall provide immediate written notification of such to the Department. The Contractor shall provide the name and resume of qualifications for the replacement individual. Any replacement shall be subject to the approval of the Department. SECTION 12. EFFECT OF INVALIDITY If any of the provisions herein shall be in conflict with the laws of the State of Iowa, or shall be declared to be invalid by any court of record in this state, such invalidity shall be construed to affect only such portions as are declared invalid or in conflict with the Iaw and such remaining portions of the Contract shall remain in effect and shall be construed as if such invalid or conflicting portions were not contained herein. SECTION 13. LITIGATION 13.1 The Contractor agrees to pay the cost of any litigation arising from failure of the contractor to comply with the conditions or terms of this Contract or resulting from the negligence or incompetence of the Contractor. In carrying out the provisions of the Contract or in exercising any power or authority otherwise, it is understood that in such matters the Department acts for the State. 13.2 The venue for any cause of action based upon this Contract by either party to this Contract, shall be in Polk County, Iowa, and the Iaw of the State of Iowa shall apply. SECTION 14. ASSURANCE 14.1 The Contractor shall not discriminate against any employee or applicant for employment because of race, creed, color, religion, national origin, sex, age, political belief, or handicap, in its employment practices. Such employment practices may include, but are not limited to, recruitment, recruitment advertising, hiring, layoff or termination, promotion, demotion, transfer, rates of pay, training and participation in upward mobility programs, or other forms of compensation and use of facilities. 14.2 The Contractor will send to each labor union or representative or workers with which it has a collective bargaining agreement or other contract or understanding a notice advising the labor union or representative of the Contractor's Page 119 of 288 120 Center St — HazMat Inventory Contract 17-7540-09 Page 10 of 11 commitments under this nondiscrimination clause and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 14.3 The Contractor will comply with all relevant provisions of the Iowa Civil Rights Act and lowa Code 1913.7, Iowa Executive Order #15 of 1973, and Title VI of the Civil Rights Act of 1964 (PL 88-352). The Contractor shall furnish all information and reports requested by the department and will permit access to its payroll and employment records by the Department or the Department's grantor agency for purposes of investigation to ascertain compliance with this nondiscrimination clause consistent with Iowa Code Chapter 22. The contractor may be required to make available upon request its Affirmative Action Program containing goals and time deadline. Any breach of the above provisions shall be regarded as a material breach of Contract and justification for termination for cause. 14.4 In the event of the Contractor's noncompliance with the nondiscrimination clauses of this Contract, this Contract may be canceled, terminated or suspended in whole or in part and the Contractor may be declared ineligible for further action, and such sanctions may be imposed and remedies invoked, as provided by the Iowa Civil Rights Act, Chapter 216, Code of Iowa, as heretofore and hereinafter amended, or as otherwise provided by law. SECTION 15. CONTINGENT FEES The Contractor warrants that it has not employed or retained any company or person, other than a bona fide employee working solely for the Contractor, to solicit or secure this Contract, and that it has not paid or agreed to pay any company or person, other than a bona fide employee working solely for the Contractor, any fee, gift, or any other consideration, contingent upon or resulting from the award or making of this Contract. For breach or violation of this warranty, the Department shall have the right to annul this Contract without liability or, in its discretion, to deduct from the Contract price or consideration, or otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift, or contingent fee, SECTION 16. OFFICERS NOT TO BENEFIT No officer or employee of the State shall participate in any decision relating to this Contract which affects his or her personal interest or the interest of any corporation, partnership, or association in which he or she is directly or indirectly interested; or have any interest, direct or indirect, in this Contract or the proceeds thereof. Page 120 of 288 120 Center St — HazMat Inventory Contract 17-7540-09 Page 11 at 11 CONTRACT SIGNATURE PAGE IN WITNESS WHEREOF, the parties hereto have executed this Contract. CITY OF WATERLOO Name: Noel Anderson IOWA DEPARTMENT OF NATURAL RESOURCES B Name: William Ehm Title: Director, Planning & Development Title: Administrator Environmental Services Division Date: Date: e/ Page 121 of 288 Page 122 of 288 CITY OF WATERLOO Council Communication January 9, 2017 City Council Meeting: 1/9/2017 Prepared: REVIEWERS: Department Reviewer Action Date Clerk Office Rigby, Nancy Approved l/4/20 3:06 PM ATTACHMENTS: Description Type • 9.17.Preliminary Summary Invoice Report Backup Material • 9.1 7 Preliminary Detail Invoice Report Backup Material • .9. 7 Preliminary Cover Invoice Report Backup Material Page 123 of 288 d Azi"Td0 C:11 (211 u 111 Ih p 1.4 w w 11I E E u u kM I® I c O w Z w w 0 a'TCS w 0 Z7 7y w ro 0 w 0 row 0 ( 0 0 O O O M Lfl dJ N O M LfldJ N -EA- CO O 71- tr7 O, co O O O N N Ui- O N O O N N 4C} 4C} 4C} 4C} 4C} 4C} 4C} 4C} q) q) q) q) q) q) q) N. C,J n CJ n CJ n N. CJ n CJ n CJ n CJ n N. 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DISTRB. tem 5-64: N O 0 ,—I -U w SHIPPING CHRGS 5-649-69859 Page 40 of 128 Page 199 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PM 0 O 0 O E O 0 (.1) O 0 O 0 Invoice Date 0 0 0 0 713 3.3 0 O 0 0 C> lf) lf) k.1.5 cr; ".ra. do (0, do SHIPPING CHRGS 5-649-69859 0 (C) LIJ CO .v) E E ge o, 0 0 fc, ci. -0 8,— 0 e ;c7 _,I, 0 z u_ •,'c'C To _1 :33 — i5 0 c u..1 co CD Z 0 ry-, ce 71- ry-, H — o c, O c, • r..., ,--, . a) _1 u • . cu co Z al CC H CA 0 C Ln 0 w a.,p 0 Ljj 0 0 ,--, < 4) b < 0_ — 0 LT, g 4 8 Lc SHIPPING FEES THRU DEC 2016 Edit 5-650-50420 4-, 0 al 0 C> •", O g..] IN 4, d,.., N . ..":, ci. cr), ▪ c.6. lf) r; 4,-, rC 0..) ▪ 4:4,l':l' Z" 70, ) CO r‘i 71 - co 0 co c> c> 33 NJ 4- E.::: NJ 0 ......., 1 . () a\-- SC) 0 cz cz Z: -.0 0 , ej11' ,. c> c> 33 r. . 0 gi cr; ▪ 0 cr; r- cr, NJ NJ44a" 0_ -4..„, CD 01 1''''. 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(5 (5 2018 - Page 64 of 128 Page 223 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PM 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 IL c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 0 0 0 J) L) 0 0 0 L) 0 0 2018-00000004 tJ-) O tJ 0 CO r'J l0 1f r'J Ui- (V) 4 4 0 r'J E LL 0 (I_)0 IL LL ARDWARE - Cab oQ oQ (V) 0 tJ_) tJ-) to HARDWARE FILTER FOR ST. 2 Page 65 of 128 Page 224 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 IL c 0 E w 2: w L) 0 C w 0 c w E w 0 w 0 w 0 InvoKe Date c 0 J) w w c 0 J) L) w 0 w L) 0 c ('1 � 0 0 rJ ,^-i +--ir'J — r'J O r'J r'J r'J — r'J r'J r'J -.- - () -.- - () -.- - — — — O r E - 0 fl - Q) 0 _ Q) o LIJ 0 — — o2S — >- - 4- — = O 0 r'J rJ rJ L) N— ,--icd 0 -r- — 0 ura () ( ura ura 0 0 Q) E 0 0 (1) LIJ LIJ 0 0 0 Q) L) E Q) 0 _ � 0 o 0 — — 0= — Q) (.1) 5&) = U) LL 0 (J _ UJ Q) .. 2 - to 1- — ( w 1- ,ti C L() Q. — OQ) Lfl o 0 D .j Lfl( o — ,--iu_ 0 ,—,--i -J m O 5 1- 0 rJ c (f) >< r'J Lfl W W Lfl0 . c n uj LUL N O 0 x d3 1- 0 r.j = w 1- E ELflO — E r.j 1- 3N0(fl UJ 0 — Q0 . • -o 0 >0 '-D n 0 0 >< 00 < 0 c'JE- O0u dCb "C1 lO tJ-) Lf) r'J r'J r'J O CO CO Li O r'J r.J O L o E O RT - MAINT. SUPPLIES ELEC - ART CENTER Page 66 of 128 Page 225 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' c O E Q, w Z w w p c C. E P6 w p Z7 w p w p w p w 0 O J) w "C7 w u p w u 0 N M rl N rl a w PLUMBING - CITY HALL O O n CO CO M W pqy. O tem - PLUMBING - CITY HALL 4) O1 N U) O1 E a Q) C N 4) V LL O N Q O1 m w Q) c �Q) to o o to Q — _ p U) O N CO lT c0 � N C N 6 o p 0 o2S — N 4) a w n to M CO In n M CO In n N O 7 O d n M o n M N M n O N O N Y C 4) 4) E 4) O1 C 3 O (n c w z o OW �: gQQ) o_ DH � (J) (f) - J O HZ W to d O Y 0 '" tfO 2 J 4` iC rr O r Y C7 c J O O W 2 U U U) Q) c c Q) LCz o E5 w p v w n to CO In ICE MELT - ART CENTER Page 67 of 128 Page 226 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PM 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 IL c 0 2 0 2: 0 L) 0 0 0 •0 0 0 0 2 0 0 •0 0 0 C) N (V? '1 0 — r'J — invoice Date (J) 2: b - tJ_) tJ-) HARDWARE - MAILBOXES to tJ-) c5 c5 (V) — r — r'J N- c.J -.-..- (V) N. 3 0 N. —0 C'Jo _\ . 0 ii — j — r —s— () to uaa N (0 uaa 0 0 0 0 E E 00 o o 0 0 (0 (0 0 0 — 00 — 0 0 (.fl(f) 66 00 W Q iw u.j-E (V) OLn to In d I r'J0 C'J0 ELflO ELfl0 0 Q) 0 o < 0 )Q) > 0 0 o o 1 0 PRIMED MDF BOARD (i — c'J O O — c'J O uJ o — c'J - L) Lfl (0 z:: o c'J - — 0 E 0 0 (1) w 0 0 E (0 o 0 o 0 — 0 0 o_ o — 0 -U —J (0 uJ Q) O r o —J 0 ' O cn E r.j - z uj -J Y.o o_ OD OD oo U0A Ucn Page 68 of 128 Page 227 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' c O E Q, w Z w w 0 c C. V E P6 w 0 V w 0 w 0 w 0 w 0 c 0 O w V 0 w u N M ,-1 L N M CO l0 N J N o 0 +-1 N l0 CO Ln n W N M ,-1 L C 4) 4) O1 to . 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O C) - l0 CO (V) rJ r'J O - r'J tf) (V) ' NNrJ n r'J tf) r r r .2 r'J - rJ _ rJ S Q) Q) (V) L) OIX,Y L) OIX,Yo = 0 - - - - 0 r'J rJ C'J Q) - c > ,--ic > ,--ic 0 i 0 S — — L) L) E Cl to f,w Q) 0 0 0 .2 .2 Q) Q - - - 0 1- 1- L: Q) 1- 1- Q) Q) f) LIJ _J (L) : :g: ;ii < UJ c o 0 E Ln U IIMII Q) Q) — (V) .2 ° .2 .2 CQ - > a (V) MII 3160 KIMBALL AVE 0 L) 0 c 1 > j- 0 O 0< 01 Page 75 of 128 Page 234 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 o 4J) Ll Ll Ll 0 0 0 r'J rJ (V) O- - — o O tJ-) 0 0 = .0 InvoKe Date — 0 0 O 0 0 0 E CJ ik CJ E CJ J) 0 0 < o < O UJ c UJ 0 0 0 0 q q — 0 — — 0 = = 1-;- >< 0 0 0 (I_) jQ) f) 0 > 0 < cn uJto WWN - Z -N1 o O cD 0 D O — — 8 0 - NO f6 O tf) O > — (V) tf O — UJ O 0 0 Eto 8 ZE to U Q)W Q) Q)I < o_ IIMwll L .O O R O ' dr 9 ? 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(:) Page 77 of 128 Page 236 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PM 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 J) 0 0 J) L) 0 0 0 L) 0 0 0 0 0 C) 0 tf) 2: 0 L) 0 0 c'J c'J c'J c'J c'J c'J ) ) C) ) O — ) c0 r0 rj0 — c O — C M — C l0 — c - — C rn — C to 0 0 0 qi o o > 0 > > U o 0 0 0 0 uJ uJ uJ uJ uJ uJ Q) Q) Q) Q) Q) Q) - — — — — — — Q) ' Q) ' Q) ' Q) ' Q) ' Q) uJ w w w w w tJ-) to n tf) 00 0 0 0 0 rn 0 to (j to tJ-) to to to Z— — ,--0 — ,--— 0 O O 0 O 0 0 o Cn Cn >(v) o7 M o Q) Q) Q) Q) Q) Q) O 0 o O 0 o 0 0 0 0 > — > , > — > r > 0 0 0 o o U 0 o 0 0 0 0 0 0 BOOK ON CD — C)tf) — — tJ_) tJ-) to to to to Page 78 of 128 Page 237 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 J) 0 0 J) L) 0 0 0 L) 0 0 2: 0 L) 0 0 — r'J r'J r'J c5 c5 c5 c5 c5 c5 c5 Q) -J LL c'J c'J c'J c'J c'J c'J O o y o o yO c'J M c'j rO c'j C) N ccO — — — — c L() — (N — C Lfl — — r.J ara r.J ara r.J qi 0 0 0 > > 0 > 0 0 Q o 0 0 0 0 uJ uJ uJ uJ uJ uJ Q) Q) Q) Q) Q) cn Q) — — — — — — LL LL LL LL LL LL Q) ' Q) ' Q) ' Q) ' Q) ' Q) uJ w w w w w tJ-) tJ-) O) o 0 O O 0 O 0 O 0 0 Z Z 0 o o o o Q M o M O M o >(v) M O M > M O M 0 Q M o M CO M o M CO M CO Eo Eo yEo Eo yEo E Q) Q) Q) Q) Q) 0 Q) 0 0 0 0 0cc z 'fr .2 .2 Z .2 .2 Z .2 o .2 0 0 rr Q) Q) y Q) Q) y Q) y Q) Q c o c 0 c o c 0 c 0 >2o >o 0 o > 2 o 0 o 0 0 o 0 0 0 0 0 0 0 0 ; () ;- () tJ_) tJ-) o o o o 010-33-3100 Page 79 of 128 Page 238 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' c O0 E 0 2: 0 L) 0 c — tJ. (V? 1!? � r'J tr — C) tf (V) c5 c5 c5 c5 c5 c5 c5 w w w 0 w 0 InvoKe Date 2: 0 L) 0 c tJ-) r'J r'J r'J r'J r'J r'J r'J r'J '- rj rj 1f N N M rj t') rj � — — r'J — —C Lfl — — O — 0 0 00 0 > > > 0 0 > > o o 0 0 0 0 0 uJ uJ uJ uJ uJ uJ r uJ Q) Q) Q) Q) Q) Q) Q) — — — — — — — Q) ' Q) ' Q) ' Q) ' Q) ' Q) ' Q) W w w w w w tJ-) Lf) 0a tJ) tJ) tf) tf) tf) tf) — — — z — — — — O >(v) > M > M O M M > M > oc7 Q) Q) Q) Q) Q) Q) Q) 0 0 NII 'fr 0 crY 0 crY 0 Z crk 0 0 crY 0 crY 0 crY 0 fl 0 0 0 0 >2o >o 0 0 >O >Q o0 o0 m 0 U 00 00 c5 c5 c5 c5 c5 c5 c5 Lfl Lfl Lfl() Lfl() Lfl() Page 80 of 128 Page 239 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' c 0 E 0 2: 0 L) 0 0 1 It 0 w u 111 0 w w 111 0 •0 0 0 0 E 0 0 •0 0 0 •0 0 0 0 invoice Date J) •0 0 0 J) L) 0 0 0 L) 0 0 2: 0 L) 0 0 — OM l0 C) C) O n — l0 ('1 r'J C) — r'J (V) rJ CS CS CS CS CS CS CS c5 c5 c5 c5 c5 c5 c5 r'J r'J r'J r'J r'J r'J r'J — ,tic ,ti N. — — •"i,.y,.yc r'J ara ara — 0 0 0 0 0 > 0 > > > > 0 o u 0 0 0 0 0 uJ uJ uJ uJ uJ uJ r uJ Q) Q) Q) Q) Q) Q) Q) — — — — — — — _ Q) ' Q) ' Q) ' Q) ' Q) ' Q) ' Q) LIJ W W W W W W tJ-) n n n n tJ-) to (flL•) Lfl Lfl Lfl Lfl Lfl — — — — — 0 — oc7 >(v) >(v) >(v) >(v) >(v) oc7 Q) Q) Q) Q) Q) Q) Q) NII fr 0 0crk 00 0 0 0 0 0 fl 0 0 oLD LD LD LD U LD 6M II pq 0" — ra: t0 t0 t0 t0 t0 t0 t0 0 Page 81 of 128 Page 240 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 0 J) c 0 CL u tI) w 0 0 L) 0 c rJ 0 c (V) (V) ( tf) (V)(V) (V) Nr'J tr, r'J r'J c5 c5 c5 c5 c5 c5 c5 tJ-) r'J r'J r'J r'J r'J r'J r'J CCO 0 0 rJ Z0 r0 r'j cD rj C) rj t') N M r'j '- rj C) — c L() — — () — —C O — () — 0Mr'J rJ r'Jara) 0 qi 0 0 0 0 > Q > > > 0 > o 0 0 0 0 0 0 uJ uJ uJ uJ uJ uJ r uJ Q) Q) Q) Q) Q) Q) cn Q) — — — — — — — Q) ' Q) ' Q) ' Q) ' Q) ' Q) ' Q) tJ-) n n n tJ-) 00 0 0 0 0 0 rn o Ln Ln Ln Ln Ln Ln Ln z 0 — U o o 8 oc7 oc7 - - Z .2 0 0 0 0 0 0 0 (J)Q) >o >o >o >o >o U o o o o o o o 0 0 0 0 CS CS CS CS CS CS CS Lflw w (V) — (V) r'J r'J Page 82 of 128 Page 241 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' w w E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 0 •0 0 w 0 InvoKe Date J) c 0 J) L) 0 0 0 L) 0 c — (V) N rJ r'J — r'J — c5 c5 c5 c5 c5 c5 c5 2: 0 L) 0 c O O (V) (V) O O tJ-) r'J r'J r'J r'J r'J r'J - — rJ Q rO — — c — — — — — c r-.. r'J rJ MO 0 r 0 0 0 0 0 > 0 > > > > o u 0 0 0 0q7 0ulug uJ uJ uJ uJ uJ uJ Q) Q) Q) Q) Q) Q) — — — — — — Q) ' Q) ' Q) ' Q) ' Q) ' Q) uJ w w w w w tJ-) o o o o o o tJ_) tJ-) tf) tf) tf) tf) — 0 — — — — — O 0 O 0 o >(v) Cn >(v) >(v) >(v) >(v) o M o M o M o Q) Q) Q) Q) Q) Q) 0crk O crY 0 crY 0 crY 0 crY 0 0 0 o 8 tJ-) cD � () � () � () � () � () .O () totototo tf) r'J r'J r'J r'J r'J r'J Page 83 of 128 Page 242 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) c O0 E w 2: w L) 0 C w 0 C. w E (.i to a - (V) Ui- InvoKe Date c 0 J) w w 0 O tJ-) (V) (V) (V) (V) ti O ti O Q) E ra o 0 — Q) Q) Q) — (n r'J D — ( uJ o (V) � O — c'J 4 '~_J c.J zQ) o0 (V). —0 — r.J 0 _J0 0 Zr L1J0 0 0 o o o tJ-) tJ-) Page 84 of 128 Page 243 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' c O E Q, w T w w 0 c C. 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O CL u 0 0 V n O N O E (.0 W - -U O N N rl N T J ,--1 O E . 0 0 0 E 0 Q W O rl o O l0 O N 0 E O 0 o 0 c '" i c5 o O to c C 7 LL -U M C Q Lfl u � --I d to a - In C N r E M W v i O � � � o o •i N J C oo 0 rl N Ui- to r N M to 0 V dCb 0 1- O M C1 M n q) N In C � N n O M O O- O `) 6 O W CZS .-I O C N V N Lfl O 0 q) 0 E •� O � 0 c — X to TOPWINDJACK #B06 (.0 O CO N n N In CO M Ui- N Page 85 of 128 Page 244 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PM 1 I/J I7 0 w u 11IAC1 0 w w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 ) 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 0 0 0 J) L) 0 0 0 L) 0 0 — rnN to n r'J (V) — — — 0 0 0 LL LL LL O5 uJ -0 0 9 (1) '-' 0 ' o OO•(n _J Lfl Lfl 0 Lfl Lfl 0 ,--i,--io_ ,--i,--io (1)0 (J C.J LflQ) LIJ WE dJr& -Jcb V -jcb uJ W0 LL LL 0 O 0 O - — _0 Q) E o E o o E 0 0 0 0 -Crp 0 (f) Crp 0 fl•ThJ•) 1- > 1- > —J 0 U 0 LL0 11 11 0 L) 0 c WIPERS #209 Page 86 of 128 Page 245 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) 1 I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 0 0 0 J) L) 0 0 0 L) 0 c CO — O r'J C) CO N c tf)C) N— — C) r'J 0 rj 0 — ,--i-U tra o o UJt: UJ O o E E Y— 0 —0 -U LIJ— LIJ— ciQ) ciQ) 6 w w Z Z (./) Zrc, W Zr E E — z — .2 z .2 w(n 1— > z > — o o o o MAINTENANCE SUPPLIES c5 c5 c5 c5 r'J tJ-) O :z ° — r.J - r.J - c.J -..- () -..- () o- o- o- o- - — — — r.J O () r)6 — —LiO — — E —OM 0- (N 0 L .. 0 o o c O O . 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N. 0) CJ N. r'J 0) r.J -. r.J -. 0) O 0) 0) (0 (0 0) O r.J 0(1) 0) 1(1 o E 0) 0) 0) () (0 () 0) 0) 0 — 0) 0) r.J 11) C'J L) c0) — c — c — r.J 11) Q. r.J (0 1 \( 5 > E Q C7 (1) C1 `b11) uJ . uJ 0 11) E 0) 0) 0) (0 0) 0) 0) 0) 11) p 0) ,- 0 11) (1- ID (.0 (V) r.J ID ID 0) 0 -J Page 126 of 128 Page 285 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) I/J I7 0 w u 111 0 w w 111 E E 0 u w u (5 IL c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 ) 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 0 J) c 0 J) L) 0 0 0 L) 0 c Retiree Vision Reimbursement Page 127 of 128 Page 286 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' 1 c) 1 I/J I7 0 w u 111 0 IACw w 111 E E 0 u w u (5 c 0 E 0 2: 0 L) 0 0 0 •0 0 0 0 E 0 0 •0 0 0 0 •0 0 ) 0 •0 0 0 0 InvoKe Date 0 0 J) 0 0 0 J) O c 0 J) L) 0 0 0 L) 0 c $1,136,684.01 REFUND PARENT DATE NITE 2: 0 L) 0 c O Page 128 of 128 Page 287 of 288 Run by Emily Graham on 01/06/2017 03:34:18 PN' L O c.) =o 0 —N i Q Ojz o Q -ca �o C O C � N O O Q LL 0 c.) LL 1,087,355.01 EFT Transactions: O O O N M O Dept of Health and Human Services -Transitional Reinsurance 1,136,684.01 1,657,604.37 2,806,064.98 Bill Payment Total - Friday, January 06, 2016 Page 288 of 288