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CM-05-07-121RECD J Request for City Council/City Manager Action City Council o City Manager Department Name: Contact Person: Project Manager/Resource: Legal Shelley Gonzales/Rose McMillin Project Coordinator: Steve Sheets/Don Childs Assigned Attorney: Don Childs 8JuI-05 Blue Sheet Wording Project Name: Hwy 79 Contractor/Vendor: Funding Source: 4B Corporation Amount: $20,000.00 Authorization for the City Manager to pay a fixed moving expense for relocation services for G.T. Builders, Inc. ( Highway 79 Parcel No. 10 - Thomison). Finance Information Is Funding Required? X Finance Approval EI Finance El Finance Purchasing El 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 G.T. Builders, Inc (Hwy 79 - Parcel 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 orl umission to Project Mgr. Signature: Ad a6i Date: 7k1UOOS City Manager Signature: Date: Date: `T 11,5 Date: —I -O S Updated 6-9-05 DATE: SUBJECT: ITEM: BLUE SHEET FORMAT July 1, 2005 City Manager — July 8, 2005 Authorization for the City Manager to pay a fixed moving expense payment for relocation services for G.T. Builders, Inc. (Highway 79 Parcel No. 10 - Thomison). Department: Leg& 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\0008 8266. DOC Form ROW -R-102 Rev. 5/2003 Replaces Form D-15-102 GSD -EPC Page I 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: Charles George TITLE: Owner Parcel No.: 10 County: Williamson ROW CSJ No.: 80-14 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: G.T. Builders, Inc. 2890 Palm Valley Blvd. Round Rock, Texas 78664 4. Occupancy of Property Acquired From (Date): 1995 by State To (Date Required to Move): Tenant Occupied ■ Owner Occupied El 5. Type Operation Nonprofit ❑ Will Business, Farm, or Nonprofit be: a. Discontinued? b. Continued at a new location? c. If a business or nonprofit o anizati p organization, Yes No Business // Farm • • I •/ • Type of Business, Fann or Nonprofit Organization Residential Building - Construction is it ►1 part i of an enterprise having not more than three (3) other establishments being acquired by the State, and which is engaged in the same or similar activity? Dates of Operation €� ,� a�J� t r y�< a� x ':, �� ar. x >s From. 1995 To. 2005 ti w gq 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 in the attached statement. I understand this request and the and that other records needed for determination of eligibility shall be attached heretom .44 herein is true and correct. �ij Si tore of App " t Etc. Date 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 as Year 2003, $52,478; Year 2004 , $0; Average Annual Net Earnin $26,239.00 follows: Date i'1. I- o ... ., .,... .. " I certify that I have examined this request for Determination of Entitlement and supporting documentation and: . because (List reasons payment cannot be author . Use extra page if necessary) L. Recommend a payment of $20,000.00 • Find that payment cannot be authorized 1 -ES -OS Date Di•+.,Q.R?'r aim -©s -Oi -02.1