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CM-04-09-038°NMI"( Request for City Council/City Manager Action Please submit this form when placing items on the counal agenda or when submitting an item to the City Manager fora, Department: Contact Person: Project Name: ContractorNendor Name: Amount: Legal Steve Sheets/Laura Levinson HWY 79 Box Culvert Paul Hornsby & Company $1,010.00 Is Funding Required? Council Agenda Item Submission to City Manager - Yes Yes X No No x Yes X No n eta tivr. &r1A-Lf`-- Project Manager/Resource: Bill Stablein `C • �" 7/ "'^ 0 Council Meeting Date: Funding Source: Assigned Attorney: Don Childs Transporation System Development Corp. (contract, agreement,amendment,change order, purchase order,etc.) RECEIVED SEP 1 4 2004 (see regidred signatures below before submission to the City Manager) Agenda Wording: ❑ Initial Construction Contract 0 Constriction Contract Amendment O Change Order 0 Change in Quantify 0 Unforeseen Circumstances Initial Professional Services Agreement Supplemental Professional Svcs. Agr. #_ Purchasing/Service Agreement Purchase Order Item(s) to be purchased: Amount © Other (Please clearly identify action on lines below) $1,010.00 Supplemental professional services by Site Specifics thru Paul Hornsby & Company for research regarding flood -plain and driveway placement issues. For Submission to City M,, er OnI Aaftill �J Project Mgr. Signature: Dept. Director Signature: City Attomey Signature: City Manager Signature: Date: 4 Date: 7 Date: Date: 7 Approval is required for all Items requesting City Manager's approval. 1 Finance Approval id Finance -Date and Signature: O Purchasing -Date and Signature: //3/0 7' rzX' plaeninimatiaranprsaunril actian.ds 7-1444 DATE: SUBJECT: ITEM: BLUE SHEET FORMAT (Submission to City Manager) September 13, 2004 City Manager - September 17, 2004 Authorization for the City Manager to pay supplemental invoices from Site Specifics thru Paul Hornsby & Company for professional services for research regarding flood -plain and driveway replacement issues. 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: $1,010.00 Source of funds: Transportation System Development Corporation Outside Resources: Paul Hornsby & Company Background Information: Drainage improvement in the City. Public Comment: N/A A4j Paul Hornsby & Company 2404 Rio Grande Street Austin, Texas 78705 (512) 477-6311 (512) 477-1793 Fax Fed Tax ID 74-2877328 BILL TO Sheets & Crossfield, P.C. c/o Ms. Laura Levinson 309 E. Main Street Round Rock, TX 78664-5246 Invoice DATE INVOICE # 7/13/2004 04-4925 PAST DUE PLEASE REMIT iT DUE DATE Due on receipt JOB Sam Bass Rd., Parcel 5 DESCRIPTION Invoice from Site Specifics for work on Sam Bass Rd. - Parcel 5 Invoice from Site Specifics for work on Highway 79 Drainage Improvements Tax ID# 74-2877328 Total AMOUNT 1,010.00 $3,745.00