CM-05-04-080Request for City Council/City Manager Action
City Council Ej City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: EDS
Contact Person: Latha Kumar/Laura Flores
Project
Manager/Resource: Danny Heiden
Project Coordinator: Eric Langhout
Assigned Attorney: J Kay
Council or
City Manager
Agenda Date: 4/29/2005
Blue Sheet Wording
For Administration Use ONLY
Tag#
Documents
Received:
Return to:
Return date:
CC: Lynn Olsen
Project Name: N/A
ContractorNendor: N/A
Funding Source: N/A
Amount: N/A
Authorization for the City Manager to execute a Release of Easement for the Round Rock Crossing, Section 5 Subdivision
Finance Information
Is Funding Required? Yes No
Initial Construction Contract
Construction Contract Amendment #
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. A #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below)
Finance Approval
El Finance n/a L. Olsen Date 4/26/2005
El Finance Date
Purchasing N/A HB Date 4/27/2005
J Budget N/A CYD Date 4/26/2005
For Submission to Ci Mana. - On
Project Mgr. Signature:
Dept. Director Signature:
City Attomey Signature*:
City Manager Signature:
' Le %prove, is required for all items requesting City Manager's approval.
Date: 4 /Z
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Date: W
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Date: t r t - CS
Updated 3-9-05