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DocuSign Envelope ID: F60DCC73-C13D-46B3-B1EF-B2694DEB748A
RESOLUTION NO. 2017-081
A RESOLUTION ACCEPTING THE CITY STREET FINANCIAL REPORT
TO THE IOWA DEPARTMENT OF TRANSPORTATION FOR
THE CITY OF TIFFIN, IOWA FOR FISCAL YEAR 2017
Whereas,
the City of Tiffin, Iowa is the recipient of ongoing payments from the State of
Iowa of a pro-rata share of Road Use Tax payments which are utilized for various
defined purposes relating to the maintenance, improvement and construction of the
, and;
Whereas,
it is the responsibility of the City to report to the State how it spends its Road
Use Tax as shown on the attached report;
Now, therefore be it resolved
by the City Council of the City of Tiffin, Iowa to accept
the City Street Financial Report for FY 2017.
th
On the 19 day of September, 2017, at a regular meeting of the Tiffin City Council,
RESOLUTION NO. 2017-081, A
Tiffin, Iowa, Councilperson Ryan introduced
RESOLUTION ACCEPTING THE CITY STREET FINANCIAL REPORT TO THE IOWA
DEPARTMENT OF TRANSPORTATION FOR THE CITY OF TIFFIN, IOWA FOR
FISCAL YEAR 2017
and made a motion for approval. Motion seconded by
Councilperson Havens.
Ayes: Bartels, Havens, Ryan, Kahler.
Nays: None.
Absent: Upton
Whereupon Four Council members were present and voted approval and Mayor Berner
RESOLUTION NO. 2017-081, A RESOLUTION ACCEPTING THE
declared that the
CITY STREET FINANCIAL REPORT TO THE IOWA DEPARTMENT OF
TRANSPORTATION FOR THE CITY OF TIFFIN, IOWA FOR FISCAL YEAR 2017
to
be adopted and signified his approval of the same by affixing his signature thereto.
th
Passed by the City Council on the 19 day of September, 2017.
City of Tiffin
____________________________
Steven L. Berner, Mayor
ATTEST: ________________________________
Doug Boldt, City Administrator/Clerk
1
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
1 of 8
TIFFIN
City Number
7662
Cover Sheet
Now therefore let it be resolved that the city council, Iowa
TIFFIN
(City Name)
Ondid hereby approve and adopt the annual
09/19/2017
(month/day/year)
City Street Financial Report from July 1,to June 30,
20162017
(Year)(Year)
Contact Information
NameE-mail AddressStreet AddresscityZIP Code
Doug Boldtdboldt@tiffin-iowa.org300 Railroad St P.O. Box 25952340
TIFFIN, IA
HoursPhoneExtensionPhone(Altenative)
8-430 Monday - Friday319-545-25722563-886-7007
Preparer Information
NameE-mail AddressPhoneExtension
Doug Boldtdboldt@tiffin-iowa.org319-545-2572
2
Mayor Information
NameE-mail AddressStreet AddresscityZIP Code
Steve Berner
300 Railroad St P.O. Box 259TIFFIN, IA52340-0259
steven.lee.berner@gmail.com
PhoneExtension
319-545-2572
Resolution Number
2017-081
Steven L. BernerDoug Boldt
Signature MayorSignature City Clerk
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
2 of 8
TIFFIN
City Number
7662
Summary Statement Sheet
Column 1Column 2Column 3Column 4
Column 1Column 2Column 3Column 4
Road useOther SteeetStreet DebtTotals
Road useOther SteeetStreet DebtTotals
Tax FundMonies
Tax FundMonies
Round Figures to Nearest Dollars
Round Figures to Nearest Dollars
A.BEGINNING BALANCE
EXPENSES
$359,777$63,912$4,164,204$4,587,893
1. July 1 Balance D. Maintenance
2. Adjustments-$4,778$0$0-$4,778
1. RoadWay Maintenance$107,242$0$0$107,242
(Note on Explanation
$0$0$0
$0
2. Snow and Ice Removal
Sheet)
3. Adjusted Balance$354,999$63,912$4,164,204$4,583,115
E.Construction, Reconstruction and Improvements
1. Engineering$0$265,394$0$265,394
B. REVENUES
2. Right of Way$0$22,002$0$22,002
1. Road Use Tax$241,708
$241,708
Purchased
$0
2. Property Taxes$0
$0
3. Street/Bridge$0
$269,118
$0$269,118
$0
3. Special$0$0
Construction
Assessments
$0$0
4.Traffic Services$0$0
$0$0
4. Miscellaneous$0
F. Administration$0$0$0$0
$0
$0
5. Proceeds from$0
G. Equipment
$0$0
$0$0
Bonds,Notes, and
Loans
H. Miscellaneous$0$0$0
6. Interest Earned$0$0
$0
J. street Debt
7. Total Revenues$0
$241,708$0$241,708
(Lines B1 thru B6)
$0$0$697,616$616,900
1. Bonds, Notes and
Loans -Principal Paid
2. Bonds, Notes and$0$0$80,301$160,602
C. Total Funds$63,912$4,824,823
$596,707$4,164,204
Loans - Interest Paid
Available
(Line A3 + Line B7)
TOTALS
K. Total Expenses$107,242$556,514$777,917$1,441,673
(Lines D thru J)
L. Ending Balance$489,465
-$492,602$3,386,287$3,383,150
(Line C-K)
M. Total Funds
$596,707$63,912$4,164,204$4,824,823
Accounted
For (K + L = C)
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
3 of 8
TIFFIN
City Number
7662
Miscellaneous Revenues and Expenses Sheet
Code Number and Itemization of Miscellaneous Revenues (Line B4 on the SummaryColumn 2Column 3
Statement Sheet)(See Instructions)Other Street MoniesStreet Debt
Line B4 Totals
Code Number and Itemization of Miscellaneous Expenses (Line H on the SummaryColumn 2Column 3
Statement Sheet) "On street" parking expenses, street maintenance, buildings, insurance,Other Street MoniesStreet Debt
administrative costs for printing, legal fees,bond fees etc. (See Instructions)
Line H Totals
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
4 of 8
TIFFIN
City Number
7662
Bonds, Notes and Loans Sheet
NewDebt TypeDebt PurposeDOTIssueIssue% RelatedYearPrincipalTotalTotalPrincipalInterestPrincipal
Bond ?Use OnlyAmountto StreetDueBalancePrincipalInterestRoads
DateRoadsBalance as
as of 7/1PaidPaidof 6/30
10109/03/2012$6,100,000792027$3,905,000$445,000$77,855$351,550$61,505$3,460,000
General ObligationStreet
Improvements
$4,165,000
General ObligationStreet 10207/29/2015$4,430,000872028$305,000$113,905$265,350$99,097$3,860,000
Improvements
$8,070,000
New Bond Totals$0$0Totals$750,000$191,760$616,900$160,602$7,320,000
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
5 of 8
TIFFIN
City Number
7662
Project Final Costs Sheet
For construction, reconstruction, and improvement projects with costs equal to or greater
than 90% of the bid threshold in effect as the beginning of the fiscal year.
Check here if there are no entities for this year
Project Final Costs Sheet (Section A)
1. Project Number2. Estimated Cost3. Project Type4. Public Letting?5. Location/Project Description (limits, length, size of structure)
Project Final Costs Sheet (Section B)
1. Project Number6. Contractor Name7. Contract8. Additions/9. Labor10. Equipment11. Materials12. Overhead13. Total
PriceDeductions
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
6 of 8
TIFFIN
City Number
7662
Road/Street Equipment Inventory Sheet
1.2.3.4.5.6.7. Used On8.
Local ClassModelDescriptionPurchaseLease/UnitRental/UnitProjectStatus
I.D. #YearCostCostCostthis FY?
2015Western Star Dump Truck 4700 SB$147,000$0$0YesNOCH
2010FORD F350 UTILITY TRUCK$42,130$0$0NoNOCH
2009INTERNATIONAL 7400 SFA 4X2 DUMP TRUCK$125,000$0$0NoNOCH
2008CASE 450 SKID LOADER$37,605$0$0NoNOCH
2006FreightlinerM2 Dumpt Trk$54,298$0$0NoNOCH
2008Ford F-550 Dump Truck$55,210$0$0NoNOCH
1988Motor Grader$48,225$0$0NoNOCH
2015Case 570 N-EP Loader$48,500$0$0NoNOCH
2009Bobcat 430 Mini Excavator$35,950$0$0NoNOCH
2014Ford F250$30,320$0$0NoNOCH
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
7 of 8
TIFFIN
City Number
7662
Explanation Sheet
Comments
A-2- ADJUSTMENTS- This adjustment was a result of catching an error in our Payroll software, we adjusted wages from General fund into RUT.
Report Generated
City Street Financial Report
9/15/2017 1:27 PM
2017
Form 517007 {5-}
Office of Local Systems Fiscal Year
Ames, IA 50010
2017
Sheet
City Name
8 of 8
TIFFIN
City Number
7662
Monthly Payment Sheet
MonthRoad Use tax Payments
July$18,119.93
August$26,626.57
September$25,109.44
October$19,355.76
November$21,720.36
December$18,003.29
January$21,726.89
February$22,730.05
March$19,189.26
April$13,637.27
May$15,309.70
June$20,179.21
Totals$241,707.73
Certificate Of Completion
Envelope Id: F60DCC73C13D46B3B1EFB2694DEB748AStatus: Completed
Subject: Please DocuSign: 2017-081 - Tiffin Street Finance Report 2017.docx, 2017-081 - 2017 Street Fina...
Source Envelope:
Document Pages: 9Signatures: 2Envelope Originator:
Supplemental Document Pages: 0Initials: 0ASHLEY PLATZ
Certificate Pages: 5
AutoNav: EnabledPayments: 0300 Railroad St
EnvelopeId Stamping: EnabledPO Box 259
Time Zone: (UTC-08:00) Pacific Time (US & Tiffin, IA 52340
Canada)AJAY@TIFFIN-IOWA.ORG
IP Address: 10.103.101.11
Record Tracking
Status: OriginalHolder: ASHLEY PLATZLocation: DocuSign
10/5/2017 11:33:50 AM AJAY@TIFFIN-IOWA.ORG
Signer EventsSignatureTimestamp
Steve BernerSent: 10/5/2017 11:35:16 AM
steven.lee.berner@gmail.comViewed: 10/5/2017 12:43:19 PM
Security Level: Email, Account Authentication Signed: 10/5/2017 12:43:42 PM
(None)
Using IP Address: 199.120.90.9
Electronic Record and Signature Disclosure:
Accepted: 10/5/2017 12:43:19 PM
ID: 0fadf5ca-d000-4c1f-a715-2d586a77ac02
Doug BoldtSent: 10/5/2017 12:43:43 PM
dboldt@tiffin-iowa.orgViewed: 10/5/2017 12:59:42 PM
Security Level: Email, Account Authentication Signed: 10/5/2017 12:59:52 PM
(None)
Using IP Address: 69.63.16.128
Electronic Record and Signature Disclosure:
Accepted: 11/15/2016 7:19:16 AM
ID: e71e6fed-796e-4f6c-b8a2-9a25882d8617
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Envelope SentHashed/Encrypted10/5/2017 12:43:43 PM
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Envelope Summary EventsStatusTimestamps
CompletedSecurity Checked10/5/2017 12:59:52 PM
Payment EventsStatusTimestamps
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