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CM-04-09-037C/N/Oo4/OS7 Request for City Council/City Manager Action Please submit this form when placing items on the council agenda or when submitting an item to the City Manager for apprilval`1(//j� Legal Project Manager/Resource: Bill Stablein CC- i` ' Department: Contact Person: Project Name: ContractorNendor Name: Amount: Steve Sheets/Laura Levinson HWY 79 Box Culvert Paul Homsby & Company $750.00 Is Funding Required? Council Agenda Item Submission to City Manager - Yes Yes X No n No X Yes X No n Council Meeting Date: Funding Source: Transporation System Development Corp. Assigned Attorney: Don Childs (contract, agreement,amendment,change order, purchase order,etc.) RECEIVED. SEP 1 4 Loa (see required signatures below before submission to the City Manager) Agenda Wording: 0 Initial Construction Contract ▪ Construction Contract Amendment O Change Order QChange in Quantity n Unforeseen Circumstances O Initial Professional Services Agreement O Supplemental Professional Svcs. Agr. O Purchasing/Service Agreement ▪ Purchase Order El Item(s) to be purchased: Amount Other (Please clearly identify action on lines below) $750.00 Supplemental professional services by Paul Hornsby & Company re: preparing for and meeting with the land owner for appraisal of box culvert and drainage easement. For Submission to City Ma Project Mgr. Signature: Dept. Director Signature: City Attorney Signature: City Manager Signature: er On O .r Date: Date: Date: Date: pproval is required for ail items requesting City Manager's approval. J Finance Approval Finance -Date and Signature: O Purchasing -Date and Signature: QJJ J '/ glsonirvstralimJmigrco nal cation.* 7-14-04 DATE: SUBJECT: ITEM: BLUE SHEET FORMAT (Submission to City Manager) September 7, 2004 City Manager - September 10, 2004 Authorization for the City Manager to pay supplemental invoices from Paul Hornsby & Company for professional services for preparation and meeting with the land owners for the acquisition of a drainage easement interest in 0.32 acre of land for the proposed Highway 79 box culvert project. (Baack parcel). Department: Staff Person: Justification: Legal Steve Sheets/Don Childs Authorization for the City Manager to pay supplemental invoices from Paul Hornsby & Company for professional services for preparation and meeting with the land owners for the acquisition of a drainage easement for the Baack Parcel. Funding: N/A Costs: $750.00 Source of funds: Transportation System Development Corporation Outside Resources: Paul Hornsby & Company Background Information: Drainage improvement in the City. Public Comment: N/A Paul Hornsby & Company 2404 Rio Grande Street Austin, Texas 78705 (512)477-6311 (512)477-1793 Fax Fed Tax ID 74-2877328 BILL TO City of Round Rock c/o Sheets & Crossfield, P.C. 309 E. Main Street Round Rock, TX 78664-5246 l'\/{06( INVOICE DATE INVOICE # 6/30/2004 04-4912 PAST DUE PLEASE REMIT DUE DATE JOB 6/30/2004 I Baack Tract, Hwy 79 APPRAISER DESCRIPTION SERVICED PH -E Meeting with land owner and Don Childs; 6/24/2004 I preparation for meeting Tax ID# 74-2877328 HOURS RATE AMOUNT 31 250.00 750.00 Total Balance Due $750.00 $750.00