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CM-2021-296 - 11/12/2021Mm AF— AF-=Z;Z- Form ROW-R-99 (Rev. 07111) Pago I of I CLAIM FOR ACTUAL MOVING EXPENSES ;-n - 1. Name of Claimant(s) Parcel No: 26 County Wilhai-wr Grant Murray ROW (':SJ- N/A Project No,-. N1A ❑ Residence ❑ Business F,,irrn L. I tort pro fit J sign other 2. Address of Properly Acquired by Statc; 3. Address Moved To: 3810 Gattis School Rd., Round Rock TX 2400 E. Ranier, Killeen, TX Claimant's TelcEhone No.. 512-350-3342 4 Ot-.cupancy of Property Acquired by Stale: 5. Distance Movcd: Miles From (Date)- To (Date of Move): 1 7. Mover's Nemr and Address: 2213i2015 412912021 Grant Murray 2533 CR 114 Burnet. TX 7MI t LJ Owner/Occuwoant Tenant 6. Controlling Ddtc3 Mo. Day T Yr. a. First OfTer in Negotiation to 08 2019 9. Amount i; f Claint; 106 a. Moving Expenses S11100000 b. Date Property Acquired 01 14 2021 b. Rec:;tablisiunent Expenses $6.sni1 W c. Date Roluircd to Move 30 2021 8- Property Storage {attach explanation) From (Date): NIA To (Date of Move): NIA C Searching Expenses S2,500.00 d. Tang -- tib�e Property Lass S Place Stored (Name and Address): NIA C. stordge C TcqipqpkrVLod in S 10. Temporary Lodging (attach explanation) g. Total Amount From (Datc)-. NJA To (Date of Move).N1.1k $20,000.00 11. All arnounts shown in Block 9 were necessary and reasonable and are supported by attached receipts. Pay of this claim is reillues(ed. I certify that I have not submitted any other claim fut. ur received reinibumcnicrit for, dil item Of expense in this cIR;m, and that I wLti not accept reimbursement or compensation from any other source for any Rein Or"PCrise paid pursuant to this claim. I further certify that: all property was moved and installed UL the addrelf, AhOW91 in Block.,, above, in accordance With voicimsi su6mideand agreed terms of the move and that all inrormatiun submitted herewith or included herein is tore any rc t Ciaimant gate or claim: /4,//� Claimant I cerldthat I have examined this claim and substantiating documentation attached herewith- and have found it to he ne and correct and to cmfoyrri with the applicable provisions of State law. All items are considered to be necessary ressnitable expenses and this claim is recommended for payment as f6lim", Amount of S 20.000.00 kte Clor Nanag (,,,U -2, 10 2/ — W *R99* aN) a` )) -� a, ' m u, to CA a) X w Q w CL w c en Ml °' a) () a) di ilJ CCOJ O C)C CD a ta � T.- O64 � m o m Oo m C 0 CD � Oc a) N '4,U a-c7 in Xmd 0jCL x w o a mm w° :{CG4i} oUl ti Z w O a w i .9 5)c n C 1a. = a m❑ m 46 g 0 .00 m wC o w 'm 1 W U S E ❑lLo -J � w aaoN ) �Z 0 O �o m,� wm a0 ; C- 00 � F- O cd N 3 "+ � Q T p J— U Y m n �' p Lu 03 M a m a. CD (7 (D C w w w w w U U U C) c3 O � C h w w U-t LU Z U U U { c 0 Q iLU c '" w ❑ Cl 1�3 r r _ r co Grant Murray 2533 County Rd 114 Burnet Texas 78611 (830) 798-5351 grantmmurray@gmail.com BILL To Dellrif ICE DESCRIPTION Locate and execute lease on behalf of Dellrifice, LLC Payment Instructions BY CHECK Grant Murray OTHER Cash, Check or Venmo accepted: @Amy-Murray-54 SUBTOTAL TAX (O%) TOTAL BALANCE DUE INVOICE DELRIFICE030121 DATE Mar 1, 2021 BALANCE DUE USD $2,500.00 RATE QTY AMOUNT $2,500.00 1 $2,500.00 82,500.00 $0.00 $2,500.00 usD $21500.00 At //We BILL TO Dellrif ICE DESCRIPTION INVOICE Grant Murray DELLRIEICE0701 2533 County Rd 114 Burnet Texas 7861 , DATE Jail 10, 2021 (830) 798-5351 grantmmurray@gmall.com BALANCE DUE U5D $7,500.00 Move icehouse from Round Rock to Killeen and restart all systems to reopen icehouse. Disassemble icehouse from current location, coordinate crane, freight transport to Killeen location. Reset machine, level, tie downs shackles, reskirt icehouse and coordinate all utilities to reconnect all necessary systems. Tune machine for reopen, final inspection complete and C00 issued by city. Icehouse move complete and operational at 2400 E Rancier. SUBTOTAL TAX (O%) Payment Instructions TOTAL BY CHECK BALANCE Grant Murray DUE OTHER Cash, Check or Venmo accepted: @Array-Murray-54 RATE QTY AMOUNT $7,500.00 1 $7,500.00 $7,500.00 $0.00 $7,500.00 USD $7,500.00 Grant Murray 2533 County Rd 114 Burnet Texas 78611 (830) 798-5351 grantmmurray@gmail.com 811_ TO Del W ICE DESCRIPTION 2400 E Rancier-initiate and coordinate all permitting, engineering, city meetings/calls/emails, environmental and site prep. March to ,tune before permit was issued after engineering was required to satisfy flood plane requirements. SUBTOTAL TAX (O%) Payment Instructions TOTAL BY CHECK BALANCE Grant Murray DUE OTHER Cash, Check or Venmo accepted: @Amy-Murray-54 INVOICE DEL.L.RIFICE03012 DATE Mar 1, 2021 BALANCE DUE USI} $3,500.00 RATE QTY AMOUNT $3,500.00 1 $3,500.00 $3,500.00 $0.00 $3,500.00 U5D $3,500.00 W� BILL TO Del W ICE DESCRIPTION INVOICE Grant Murray DellrifECE0301 2533 County Rd 114 DATE Burnet Texas 78611 Jun 1, 2021 (830) 798-5351 BALANCE DUE grantmmurray@gmail.com USD $2,500,00 RATE 4TY AMOUNT Equipment Rental $2,500.00 Skidsteer, trailer rental, auger bit for power pole. All needed for site preparation for new power, site work. Payment Instructions BY CHECK Grant Murray OTHER Cash, Check or Venmo accepted: @Amy-Murray-54 SUBTOTAL TAX (0%) TOTAL BALANCE DUE 1 $2,500.00 $2,500.00 $0.00 $2,500.00 usD $2,500.00 https:11app. im.oicesimPle.tomjvjPVdOKf4mr-m 111?.j21. 10:00 K'.i Faye 1 al INVOICE ��aae Grant Murray DELLRiFICE0721 2533 County Rd 114 Burnet Texas 78611 DATE (830) 798-5351 May 11, 2021 grantmmurray@gmail.com BALANCE DUE USU $4,000.00 BILL TO Del W ICE DESCRIPTION RATE QTY AMOUNT Coordinate, hire, planning, supervise all Plumbers, Electricians, Foundation $4,000.00 1 $4,000.00 Erectors, and Site Work prep details. SUBTOTAL $4,000.00 TAX(©%) $0.00 Payment Instructions TOTAL $4,000.00 BY CHECK Grant Murray BALANCE DUE USD $4,000.00 OTHER Cash, Check or Venmo accepted @Amy-Murray-54 Form nown_Mv (10111) Replaces Form ROPY-R-OPM Page 1-4 1 AGREEMENT FOR DIRECT PAYMENT TO VENDOR County; Williamson ROW CSJ: NIA Higbway. Gattis School Road Parcel: 26 The undersigned displaces hereby agrees that payment for relocation services identified on the attached scope of work will be made to Grant Murray, 2533 CR 114,Bumett, TX 78611. This agreement is void without a signed scope of work attached. The Texas Department of Transportation reserves the right and responsibility of determining the "reasonable and necessary" charges for the move as is customary in the industry. John Purser (DellRif ICE LLQ understands anything not included in the attached scope of work must be pre -approved by TXDOT in order to ensure its eligibility for reimbursement. Vendor understands that the Texas Department of Transportation will not be able to make any reimbursements for the pre -approved scope of services until displace authorizes release of the payment. gg- 'splecee's Signature )ate Displacee's Name (Printed) 7 Vendor's Signature Date (/Yl %Irrvol Dame (Printed) 1 7�ru.8�.�tG� l 1f4;'21 City of Pound lick Pmjecfa4l ager Signature Date Lisa Dworaczyk Citysf Pound Pock Project Manager Name (Printed) U`ilw a�rr.�c�r. Form ROW-R•CE (Rev. 03/16) Page 1 or 1 CERTIFICATION OF ELIGIBILITY ROW CSJ: Parcel: J Lk Displacee: pCLt P jrLLC- Individuals, Families and Unincorporated Businesses or Farming Operations I certify that myself and any other party(ies) with a financial interest in this relocation assistance claim are either: XCituens or Nationals of the United States or ❑ Aliens lawfully present in the United States * If an Alien lawfully present in the United States, supporting documentation will be required. Date: CIaimant Date: Claimant Incorporated Business, Farm or Nonprofit Organizations I certify that I have signature authority for this entity and such entity is lawfully incorporated under the applicable state's laws and authorized to conduct business within the United States. Date: ���/6�/f Claimant MEMORANDUM TO: City of Round Rock DATE: November 5, 2021 Lisa Dworaczyk FROM: Laurie Miller Originating Office SUBJECT: Parcel 26— Laurie Miller Gattis School Road Project Request Payment for Direct Payment to Vendor— Grant Murray -ICE It is requested that the attached submission be handled on a normal basis. In support of this request, please find the following: (') R-99 - Actual Claim for Moving Expenses ( Tabulation of Expenses (V) Vendor Invoices (} Direct Payment to Vendor Form -Approved (,f) Vendor W-9 Form (,J) Certification of Eligibility EXPENSE VERIFICATIONS (-, ) Comments: This packet is a request for payment for a Direct Payment to Vendor Packet for Grant Murray, Vendor for John Purser of DELLRICE. The Vendor did work for Mr. Purser and I am submitting invoices that Mr. Murray has submitted for payment. Mr. Murray was hired as the Project Manager for Mr. Purser Icehouse to be disconnected, moved and reconnected at the replacement site in Killeen, TX. The payment consists of Searching Expenses for a replacement site, cost of moving and reimbursement cost. There are additional invoices to come for other contractor that did concrete, plumbing and electrical work. 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) 401-8868. Laurie Miller, R/W-RAC, R/W-URAC Attachments IRO!UND ROCK S City of Round Rock Agenda Item Summary Agenda Number: Title: Consider approving a $20,000.00 claim for actual payment of moving expenses for the relocation of an ICE vending machine located in the right of way acquired for the Gattis School Rd. Phase 6 project. Type: City Manager Item Governing Body: City Manager Approval Agenda Date: 11/12/2021 Dept Director: Gary Hudder, Transportation Director Cost: $20,000.00 Indexes: RR Transportation and Economic Development Corporation (Type B) Attachments: Grant Murray DPV Payment Request Packet.pdf Department: Transportation Text of Legislative File CM-2021-296 The City purchased the right of way on Parcel 26 where the ICE vending machine was located. The Uniform Relocation act allows for searching and actual moving expenses to be recovered as a result of this displacement, and the requested amount is supported by the rules and recommended by the relocation consultant for payment. Cost: $20,000.00 Source of Funds: RR Transportation and Economic Development Corporation (Type B) City of Round Rock Page i of 1