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CM-05-07-120RECD J U 3 ee ? 7 2005 Request for City Council/City Manager Action City Council o City Manager mit completed f fitd:.o :AM,, ty !Ianagee,and Cfiy Department Name: Contact Person: Legal Shelley Gonzales/Rose McMillin Project Manager/Resource: Project Coordinator: Steve Sheets/Don Childs Assigned Attorney: Blue Sheet Wording Don Childs 8 -Jul -05 Project Name: Hwy 79 ContractorNendor: Funding Source: 4B Corporation Amount: $20,000.00 Authorization for the City Managrer to pay a fixed moving expense for relocation services for Aaron Thomison Masonry, Inc (Highway 79 Parcel No. 10 - Thomison). Finance Information Is Funding Required? X Finance Approval Q Finance Finance Purchasing Budget Yes No Initial Construction Contract Construction Contract Amendment Change Order Change in Quantity 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) Authorization for the City Manager to pay a fixed moving expense for relocation services for Aaron Thomison Masonry, Inc. (Hwy 79 - Par 10). L. Olsen N/A E. Wilson N/A HB N/A CYD Date Date Date Date $20,000.00 7/6/2005 7/5/2005 7/5/2005 7/5/2005 i ub titissron10 bt'� �G%f �rt�autt cit »�;�c�� �t 1llaager Project Mgr Signature cI bira�1j k dpi vW dTt1- pillyS1 i'v i" ts'nd; , City Manager Signature: Date: ` iotZUDS Date: Date: 7 Date: "1 - Updated 6-9-05 BLUE SHEET FORMAT DATE: July 1, 2005 SUBJECT: City Manager — July 8, 2005 ITEM: Authorization for the City Manager to pay a fixed moving expense for relocation services for Aaron Thomison Masonry Inc. (Highway 79 Parcel No. 10 - Thomison). Department: Legal Staff Person: Steve Sheets/Don Childs Justification: Relocation of displaced landowner due to right of way acquisition for Highway 79 construction project. Funding: Cost: $20,000.00 Source of funds: 4B Corporation Project Funds Outside Resources: Sheets & Crossfield, P.C. Background Information: Relocation services which follow the Uniform Act are required to be provided on all state highway projects. Public Comment: N/A O:\wdox\CORR\transprt\Hwy79\thomison\otherdoc\00088265.DOC TYae IMpvletlon Form ROW -R-102 Rev. 5/2003 Replaces Form D-15-102 GSD -EPC Page 1 of 2 FIXED MOVING EXPENSE PAYMENT - BUSINESS, FARM OR NONPROFIT ORGANIZATION Print or Type All Information - Read Rules on the Reverse Side 1. Applicant's Name: Aaron Thomison TITLE: Owner Parcel No.: 10 County: Williamson ROW CSJ No.: 8044 2-29 Project No.: U.S. 79 2. Applicant's Address: 2890 Palm Valley Blvd. Round Rock, TX 78664 Telephone No.: (512) 255-1540 1. Name and Address of Business Farm or Nonprofit Organization: Aaron Thomison Masonry, Inc. 2890 Palm Valley Blvd. Round Rock, Texas 78664 4. Occupancy of Property Accuired From (Date): 1994 by State To (Date Required to Move): Tenant Occupied ❑ Owner Occupied R 5. Type Operation Will Business, Farm, or Nonprofit be: a. Discontinued'? saa new location? b. If Co c. If a business or nonprofit organization, business of an enterprise having not more than other establishments being acquired and which is engaged in the same or Yes No Business /1 Farm ❑ Nonprofit • 0 O. 0 0 is it part ❑ three (3) by the State, similar activity.? Type of Business, Farm or Nonprofit Organization MasonryConstruction Dates of Operation` From: 1994 To: 2005 �n�'+"-., i �hF' `^Zb'.,.,...,,, 6. Determination of entitlement for payment in lieu of moving expense named above may be entitled to, if any, is requested for the reason(s) attached documents shall become part of any claim for payment; made available on request of the State. I certify that all information and the amount to which the business, farm or nonprofit organization outlined ' ..• - a• ached stat- •• -nt. . erstand this request and the and that o '. reco . s n- =. - . or. .'tion of eligibility shall be attar d here . or includ- • h-_ - and cofrect. 'Cr%'-' Signa o c .., PGts Etc. 6 1 i- Da�fe of Request Title or Position (Owner, Manager, Space Below to be Completed by State I certify that I have examined the records made available by the above applicant(s) and have found the earnings to be Year 2003, $100,855.00; Year 2004 , $0; Average Annual Net s: $50,427.50 h -J. -b5 as follows: Date IP i r may. . : '.•....--...-:.• I certify that I have examined this request for Determination of Entitlement and supporting documentation and: . because (List reasons payment cannot be authoriz Use extra page if necessary) ►/ Recommend a payment of $20,000.00 • Find that payment cannot be authorized (y Date M -05-0 D7 -I