CM-2018-1990 - 12/17/2018DocuSign Envelope ID: 4DDFE1C7-55C5.4930-85F0-5C6165Bi8055
Form ROW -R•99
(Rev. 07111)
Page 1 of 1
CLAM FOR ACTUAL MOVING EXPENSES
Print or TyneAll
lnformation
1. Name of Claimant(s)
Pared No: 25-02 County: Williamson
Carlos Lopez
ROW CSI: 0681-01-092 Project No,:NIA
Residence Business 0 ratm
0 Nonprofit 11 Som rl tither
2. Address of Property Acquired by State:
3. Address Moved To -
712 Round Rock Ave.
1308 Round hock Ave.
Round Rock, TX 7868 I
Round !lock, TX 78681
Claimant's Telephone No.: 512-663-6674
4. Occupancy of Property Acquired by State:
5. Distance Moved: l Miles
From (Date): To (Date of Move):
7. Mover's Name and Address:
2002 August 3. 20 18
owner/aQcw ant M Tenant
6. Controlling Dates Mo. Day Yr.
a. first Offer In Negotiation 2 24 17
9. Amount of Claim:
a. Moving Expenses
b. Reestablishment Expenses
S.4,456.11
S
b. Dale Property Acquired 6 30 i8
12018 1
c. Date Rc uired to Move 8 3
8. property Storage (attach explanation)
From (Date): NIA To (Date of Move): NIA
c. Searching Expenses
d. Tangible Pmperty'Loss
S
S
Place Slomd (Name and Address):
NIA
o. Storage
r. Tomoorery Lodging
$
S----
10. Temporary Lodging (attach explanation)
From(Dalc): N1A To Date of Move :N/A
g. Total Amount
S4.456.11
11. All amounts shown in Bock 9 were necessary and reasonable and arc supported by attached receipts. Pay of this claim is requested. I certify That 1 have
riot submitted any other claim for,or n cc ed reimbursement -for, an item of expense in this claim, and that 1 will not accept reimbursement or
compensation from any other source fi y item of expense paid pursuant to this claim. t further certiry that all property was moved and installed at the
address shown in Block 3, above, i mance with the Invoices submitted
and agreed terms orthu move and that all information submitted hemwith or
included herein Is true and
V/.
Claimant
Data of Claim: S 1-1'r
Claimant
Spaces Below to be Completed by State
1 earthy that I have examined this claim and substantiating documentation attached herewith, and have found it to be true and correct and to conform with
the applicable provisions of 5taic law. All items ere considered to be necessary reasonable expenses and this claim is recommended far payment as rollows:
Amount ofS'r/1'-/Ste- //
91ooairear W.
04)a i"
12/5/201$
Dale
Riehl of Wa Manager
e1A4-,1?4- -//
City of Round Rock
By_
City Manager
Laurie Hadley
eR99�
D=Slgn Envelope 10.4DDFE1C7-55C54M-85F0.5C6165B18065
MEMORANDUM
October 4, 2018
TO: Sheets & Crossflcld
Attn: Lisa Dwornezyk
FROM: Laurie Miller
SUBJECT: Parcel 25-02 Taquerin Chapala 2
ROW CSJ — 0683-01-042
Project: RM 620
Texas Department of Transportation
Austin District
Attn.: Shanna Pasemann
Verification for Actual Cost Move Request and Payment of 54,456.11
It is at TXDOT request that 1 write this memo to verify the pricing I received from commercial movers and
verify that the individuals that helped in the Taqueria move the hours they worked and agreed upon amount that
they would be paid.
I called to find what three commercial movers pay their packerlmovers per hour and then
averaged that number to come to the hourly rate of S12.42. This rate was used for payment
caIcuiations for every name on the time sheets. (The three hourly rates/Compaules are ABC
Moving $11.75 hr., 3 -Men Movers- 512.50 hr. and Daryll Flood & Assoc.. $13.00 hr.).
Attached again are the timesheets I typed up from the notes I received from Carlos Lopez owner of
the Tagneda. I am confirming that I spoke to the Individuals that helped on the move at a meeting
that Mr. Lopez and I had. All were present when I told Mr. Lopez that we could not do the
negotiated self -move because we did not get It pre -approved and I explained that we could do an
actual cost move where everyone would have to keep timesheets for their time and mileage.
Everyone said they were ok with this and everyone would work the same hours because they would
work the same as Mr. Lopez. There are a couple of people that worked a little longer because they
helped deliver the remaining food from the Taqueria to another location that his Brother In -Law
owns. At this meeting Mr. Lopez asked what everyone would get paid. I told them all that they
would only get paid what a commercial mover pays their employees an hour, and they asked how
much. r told them 1 must do some checking but the last time I did a move like this it was between
511.50 hr. to 513,00 hr. (I went back the nett day of the ►dove and everyone was present to lel 111em
know that the average amount a commercial mover pays their employees was SIZ.42 an hour).
Everyone agreed that amount would be fine.
This is the extent of my verification.
Laurie Miller, R/W-NAC, R/W-URAC
Attachments
DocuSlgn Envelope ID: 40DFt:1CT-55C5-493M6FO-5C6165Bl8O55
September 20, 2018
Page 2
Tlie Austin District agreed to assist the City of Round Rock by providing primary oversight of all relocation
assistance submissions All relocation packages are sent to Texas Department of Trarrsporlation for
approval fliers sent to the City of Round Rock for payment. Signature lines for approval will reflect tills
process
We approve and recommend that the attached submission be processed at your earliest convenience. if
additional information is needed, please contact Laurie Miller of this office at (512) 413-4012.
V"/ w*
Laurie Miller, R/W-NAC, R/W-URAC
A±tachments
City of Round Rock
ROUND ROCK
TEXAS Agenda Item Summary
Agenda Number:
Title: Consider approval and execution of claim forms authorizing reimbursement
of actual personal property move expenses in the amount of $4,456.11 for
the Taqueria Chapala due to displacement of the business caused by
acquisition of right of way on the RM 620 project (Parcel 25).
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 12/14/2018
Dept Director: Gary Hudder
Cost: $4,456.11
Indexes: RR Transportation and Economic Development Corporation (Type B)
Attachments: 00414594.PDF, 00414577.PDF
Department: Transportation Department
Text of Legislative File CM -2018-1990
This is a request for reimbursement payment to a tenant for actual personal property move
expenses. This payment is 100% reimbursable by TxDoT in connection with the RM620 project.
Cost: $4,456.11
Source of Funds: RR Transportation and Economic Development Corporation (Type B)
City of Round Rock Page i Printed on 1204/2018