CM-04-09-039cc.
Request for City Council/City Manager A
Please submit this fine when placing #ems on the council agenda or when submltding an item to the City Manager for approval.
Department:
Contact Person:
Project Name:
Cont actorNendor Name:
Amount:
Legal
Steve Sheets/Laura Levinson
Sam Bass Road Improvements
Paul Hornsby & Company
52,735.00
Is Funding Required? Yes
Council Agenda Item Yes
Submission to City Manager - Yes
X
X
No
No I^ 1
No
Project Manager/Resource: David Bartels
Council Meeting Date:
Funding Source: GO Bonds
Assigned Attorney: Steve Sheets/Don Childs
(contract, agreement,amendment,change order, purchase order,etc.)
RECEIVED SEP 1 4 2004
(see required signatures below before submission to the City Manager)
Agenda Wording:
O Initial Construction Contract
O Construction Contract Amendment
❑ Change Order
EI Change in Quantity
EDUnforeseen 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) 52,735.00
Supplemental professional services rendered by Site Specifics thru Paul Homsby & Company
for work on the drainage improvements for Parcel No. 5. Sam Bass Road
For Submission to City M
Project Mgr. Signature:
Dept. Director Signature:
City Attorney Signature:
City Manager Signature:
Date:
Date:
Date:
Date:
Finance Approval I.J Finance -Date and Signature:
O Purchasing -Date and Signature:
///D`f (XOte,o-+t.)
dseni iiratia✓anpr-mown saanjds 7-14-04
DATE:
BLUE SHEET FORMAT
(City Manager Approval Form)
September 13, 2004
SUBJECT: City Manager Approval - September 17, 2004
ITEM:
Authorization for the City Manager to pay invoices for
professional services of Site Specifics thru Paul Hornsby &
Company for research and schematics for the existing
improvements and parking requirements. (Parcel No. 5)
for the widening and improvement of Sam Bass Road.
Department: Legal
Staff Person: Steve Sheets/Laura Levinson
Justification:
Professional services rendered by Site Specifics thru Paul
Hornsby & Company for the drainage improvements to
parcel No. 5 for the widening and improvement of Sam
Bass Road.
Funding: GO Bonds
Cost: $2,735.00
Source of funds: Round Rock Transportation System Development Corp.
Outside Resources: Paul Hornsby & Company
Background Information: Widening and improvement of Sam Bass Road.
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04
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 b " I
DUE DATE
JOB
Due on receipt
DESCRIPTION
Sam Bass Rd., Parcel 5
AMOUNT
Invoice from Site Specifics for work on Sam Bass Rd. - Parcel 5
Invoice from Site Specifics for work on Highway 79 Drainage Improvements 1,010.00
Tax ID# 74-2877328
Total
$3,745.00