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CM-04-09-054i 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 approval. Department: Legal Project Manager/Resource: Bill Stablein Contact Person: Steve Sheets/Laura Levinson Council Meeting Date: Project Name: Hwy 79 Improvements - Thomison Funding Source: 4B Corporation Project Funds ContractorNendor Name: Paul Hornsby & Company Assigned Attorney: Steve Sheets Amount: $2,750.00 Is Funding Required? Council Agenda Item Submission to City Manager - Yes Yes X No n No n Yes X No n (contract, agreeme t,am ndment, ange order, purchase order,etc.) qt,� r (see required signatures below before submission to the City Manager) Agenda Wording: ▪ Initial Construction Contract ▪ Construction Contract Amendment ▪ Change Order Q Change in Quantity Unforeseen Circumstances ▪ Initial Professional Services Agreement ▪ Supplemental Professional Svcs. Agr. # C3Purchasing/Service Agreement ▪ Purchase Order Item(s) to be purchased' Amount Other (Please clearly identify action on lines below Professional Appraisal services from Paul Homsby & Company for HWY 79 improvements, Parcel 10 Thomison. $2,750.00 C For Submission to Citv Ma er OnI � - Project Mgr. Signature: / Ai - /tA,L�Q14 , Dept. Director Signature: filb:A: . ' A City Attorney Signature: * '/r wla _ City Manager Signature: �t Date: Date: 7 Date: Date: L r . Approval Is required for all Items requesting City Manager's approval. Finance Approval Ef Finance -Date and Signature: W//31..1 l./ �ZI—PidL.) Purchasing -Date and Signature: gladministralionlcmgr-council action xls 7-14-04 DATE: SUBJECT: ITEM: BLUE SHEET FORMAT September 20, 2004 City Manager — September 27, 2004 Authorization for the City Manager to approve payment of invoices from Paul Hornsby and Company for supplemental appraisal services for Parcel No. 10 (Thomison) so that the Highway 79 improvement project can be constructed. Department: Staff Person: Justification: Legal Steve Sheets/Don Childs Supplemental Appraisal Services by Paul Hornsby and Company for Parcel No. 10 (Thomison) for the acquisition of right-of-way for the widening of Hwy 79 project. Funding: Cost: $2,750.00 Source of funds: 4B Corporation Project Funds Outside Resources: Sheets & Crossfield, P.C. Background Information: Increased Mobility in the city. 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 City of Round Rock c/o Ms. Laura Levinson Sheets & Crossfield, P.C. 309 E. Main Street Round Rock, TX 78664-5246 DUE DATE Due on receipt DESCRIPTION Appraisal services for project U.S. Hwy 79 Tax ID# 74-2877328 Invoice DATE INVOICE# 8/10/2004 04-4961 PAST DUE JOB Thomison update, P. 10 Total AMOUNT 2,750.00 $2,750.00