CM-2025-173 - 7/11/2025Docusign Envelope ID- 052071C13-F7E2-4Eg84CC3-E3695FD3F412
page t or t
CLAIM FOR ACTUAL MOVING EXPENSES
1Ptrlat or
All ltelbtrnl��
1. Name ofClaimant(s)
Parcel No: Burge Parcel
County: Williamson
Landon Burge
Project: Old Settlers Blvd
Residence Businc- El Farm
No fit 171 sign cAhcr
2. Address of Property Acquired by City of Round Rock:
3. Address Moved To:
1001 N. Redbud Lane
Round Rock. Texas 78664
%,=sW
Claimant's'l cle2boneNo.:
4.Occupancy of Property Acquired by City of Round Rock:
5. Distance Moved: 44 miles
7. Mover's Name and Address:
From (Date): To (Date ofMove):
1982 12.2E-2024
A -Line Relocations
429 Doc Run
Georgetown, Texas 7862E
(h7yncr/0= l. 0
Tenant
6. Controlling Dates
Mo.
Day
Yr.
512-968-8983
a. First Offer in Negotiation
02
09
2023
9. Amount of Claim:
Moving Expenses
S43,975.00
b. Date Property Acquired
2024
c. Date R uired to Move
1 04
14
2024
8. Property Storage (attach explanation)
From (Date): N/A To (Date of Move): NIA
Total Amount
543,975.00
Place Stored (Name and Address):
N/A
10. Temporary Lodging (attach explanation)
From Date : NIA To Date orMove : N/A
I I All amounts shown in Block 9 were necessary and reasonable and am supported by attached receipts Payment of this claim is requested I certify that I
have not submitted any other claim for, or received reimbursement rot, an item of expense in this claim, and that I will trot accept rdmbuimment or
compensation from any other source for any item of expense paid pursuant to this claim I further certify that all property was moved and installed at the
address shown in Black 3 a with the invoices submitted and agreed tenits of the move and that all information submitted herewith or
included herein is true and c rri¢t
tf�."'.'.`
;a 41111,2ft
tiaw
Daic ofClaim• 6/23/202S
Claimant
I certify that 1 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 State law All items arc considered to be necessary aim is raommended for payment as follows:
Amount ofS43,975 00
Macxprnws.
L—air!Dale
AiNn
1 (t ,90tf-
Date
City of Round Rock Representative
4 Nj"? o 2 5-1-73
RIGHT OF WAY OF TEXAS, LLC
341 1 SAM BASS ROAD, ROUND ROCK, TEXAS 78681
EOl (512) 372.6220
June 26, 2025
TO: Lisa Dworaczyk, Sheets and Crossfield
FROM: Danny Jackson, Right of Way of Texas
SUBJECT: Partial phase 2 move claim
City of Round Rock
Old Settlers Blvd.
Burge Parcel
Forms included with this submission include:
Claim for Actual Moving Expenses
Invoice SM 1081 from A -Line Relocation
Move Estimate from A -Line Relocation
Displacement pictures
Replacement Pictures
Vacancy Pictures
Certification of Eligibility
Contact Notes
REMARKS
Attached for your review, approval and payment is the partial claim for the phase 2 move.
Landon Burge moved a portion of the items from the remainder to his property in Buckholts,
Texas. Because there are items remaining on the remainder property that will need to be moved
to their final location, there will be an additional move to relocate the remaining personal
property listed on the move estimate number 1858 dated 3-28-2024 to the final location, should
any of this change that would affect the remaining estimate amount a revied estimate will be
submitted for approval.
This will be a direct payment to the Vendor A -Line Relocation.
We have inspected and verified that the items listed on this claim have been moved from the
remainder, and we recommend that this partial move claim be approved.
If you have any questions or need any additional information, please do not hesitate to call me at
512-922-5930.
A-Une Rebcadon
429 Doe Run
Georgetown, TX 78628
+15129688883
Travis@ALineRelocabon.com
www.ALineRelocabon.com
INVOICE
BILL TO
Landon Burge
1001 N Red Bud Ln
Md=.E(
SHIP TO
Landon Burge
A -L1Rmi
ELOCANO v
INVOICE 0 SM1081
DATE 05t12/2025
TERMS Due on receipt
SHIP DATE
TXDMV 00684581 C
US DOT 2284558
12/28/2024
ACTIVITY
DESCRIPTION
QiY
RATE
AMOUNT
MISC
Cars
1
4,500.00
4,500.00 r
MISC
Tractors, Fence panels/gates, deer feeders.
1
18,965.00
18,965.00
squeeze shoot
Moving
Contents of 40tt shipping container
8
800.00
6,400.00
MISC
Carport 4pP.oA 1P,� rtn.uu-cJ
.. 1
3.250.00
3,250.00
MISC
Oir
Brick Piles ` Al,f vAirv,--%r l ar�yi,..(fy
1
1,500.00
1.500.00
MISC
Wood Piles !
1
1,000.00
1,000.00
Ttevel Fee
11
760.00
8,360.00
VETERAN OWNED AND OPERATED BALANCE DUE $43,975.00
Pay invoice
An-r Ail/
`} kPr..11 "ire Gtc�c�� j run►.1 '��n= S Z��wi c�F�
Mvur 44-1 C-J'nTs
��.� T 1-r C f S l�! [ QG � C.l�- � -�+ /►'1 a k0 7�'� � 3 � �p^'s� �l� `a W 4^-, ►'i J�
DocuSlgn Envelope ID 02676472-EE8IrIC53-8ESC-397513A3584F
page 1 of 1
CERTIFICATION OF ELIGIBILITY
Project: Old Settlers Blvd
Parcel: Burge
Displacee: Landon Burge
Individuals, Families and Unincorporated Businesses or Fanning Operations
1 certify that myself and any other party(ies) with a financial interest in this relocation assistance claim
are either:
® Citizens 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.
DMUS4"ad by:
" - 6WI L, Date: 6/19/2024
Claimant
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.
N/A
Date:
Claimant
1
A-Wra Relocation
429 Doe Run
Georgetown, TX 78628
(512)968-8863 �-
Travis@AUneRelocation.com
www.ALlneRelocation.com
Estimate
A -Line
RELOCAVON
ADDRESS
SHIP TO
ESTIMATE # 1858
Landon Burge
Landon Binge
DATE 0312&2024
1001 N Red Bud Ln
TBD Elgin TX
Round Rods, TX 76665
US DOT 2284556
TXDMV 006845610
ACTWITY
!?1 1PTEQN
WY
FIATA
AiSIibC1 t
Moving
Household Contents
32
$00.00
19,20D.00
MISC
Trailers, Tractors, Fence Panelslgates, deer
1
17,320.00
17,320.00
feeders, squeeze shoot
MISC
Cars
1
4.500.00
4,500.00 -
Sales
Garage Contents
12
600.00
720D.00
MISC
Carport and Outdoor
1
6,500.00
6.500.00
Paddng
Packing Guest house and Garage
14
500.00
8,400.00
Paddng Materials
1
2,900.00
2,900.00
Travel Foe
19
760.00
14,440-00
MISC
20ft container and 2 40tt containers
1
7.500.00
7.500.00
VETERAN OWNED AND OPERATED TOTAL
$87v960.00
Accepted BY Accepted Date
C`4wltro, -
�.,,,� �►� - 4 6 .,j4 c,es4N,
.� sib ��
Contact Notes
Project Old Settlers Blvd
Parcel Burge
Name Landon Burge
Date
Comments
Landon Burge
03-15-24
Call with Landon Burge to set up meeting to discuss his relocation and moving.
03-20-24
Met with Landon Burge to inspect parcel and go over his relocation entitlements and
move options.
03-27-24
Call with Landon Burge to let him Know that the city would like him to provide estimate
to move items to storage and to move from that location to the final location and to
also get an estimate to move the Mobile home from the acquired ROW to the
remainder.
04-24-24
Spoke with Landon Burge regarding the move he will decide which mover he wants to
use and will let me know. I told him we need to start as soon as possible.
04-25-24
Submitted Move estimate to Sheets and Crossfield for review.
05-03-24
City Agreed to moving of the Mobile Hime if Burge goes with the lower of the mover's
estimates. City also agreed to a 2 phase move to allow Landon to move the personal
property to the remainder and then to move to the final location once he and his
siblings decide where there are going to move too.
05-04-24
Landon Agreed to use A -Line Relocation for his move.
05-31-24
Mobile Home moved.
06-07-24
Mobile home payment claim sent to city for approval and payment.
06-08-24
First part of the move to the remainder is completed. Acquired ROW is clear.
07-22-24
Payment made for Mobile Home Move
06-21-24
Phase 1 move claim to city for payment.
12-28-24
A -line relocation started the 2nd phase move of the items from remainder to new
location in Buckholts Texas.
' 06-25-25 I Payment request for partial move of second phase sent to City for approval and
i payment.
�|
•
§ E r
§ #!|
,
.
_.9 §/
§|
2■ @ §,, k�
�| §
|.
k
§
E
�
(
&
;
k /
A °
�
b�
'}
��.r
§ Au(
b■
A
,B
' .)t 2
|
w;;oo
� !�
�
�■
�
|■�
�
�