CM-05-08-157Request for City Council/City Manager Action
City Council v City Manager
Department Name:
Contact Person:
P
Legal
rrm
= LZ City Manager and City CouncilapprovaI
Shelley Gonzales/Rose McMillin
Project Manager/Resource: Bill Stablain
Project Coordinator: Don Childs
Assigned Attorney:
Blue Sheet Wording
Don Childs
19 -Aug -05
Project Name: Hwy 79 Project
Contractor/Vendor: BFS
Funding Source: TCIP
Amount: $19,004.00
Authorization for City Manager to enter into Asbestos Services Agreement with Burnham Environmental Services, L.L.0 (BFS) for the Highway 79 project (Parcel 10 - Thomison).
Finance Information
Is Funding Required?
X
Finance Approval
Finance
Finance
Purchasing
JBudget
Yes ■ No
Initial Construction Contract
Construction Contract Amendment
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. Agr.
Amount
Purchasing/Service Agreement $19,004.00
Purchase Order
Item(s) to be purchased:
Other (Please clearly identify action on lines below)
Date
Date
Date
Date
fiilWfan*aA'L*ttf r 'citI*:40ffifIiltiara *ft*a"*tifti J ,/
- (L Date: 6/ I ��OS
t
Date:
Date: 19- OS
Dater RP -
Project Mgr. Signature:
q rffin51'.0 POI
Updated 6-9-05
Request for City Council/City Manager Action
• City Council v City Manager
Department Name:
Contact Person:
Legal
Shelley Gonzales/Rose McMillin
Project Manager/Resource: Bi l Stabletn
Project Coordinator:
Assigned Attorney:
Don Childs
Don Childs
et 19 -Aug -05
Blue Sheet Wording
Project Name: Hwy 79 Project
ContractorNendor: BFS
Funding Source: TCP
Amount: $19,004.00
Authorization for City Manager to enter into Asbestos Services Agreement with Burcham Environmental Services, L.L.0 (BFS) for the Highway 79 project (Parcel 10 - Thomison).
Finance Information
Is Funding Required?
lx
Finance Approval
x❑ Finance
Finance
El Purchasing
ElBudget
Yes
No
Initial Construction Contract
Construction Contract Amendment
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. Agr.
Amount
Purchasing/Service Agreement $19,004.00
Purchase Order
Item(s) to be purchased:
Other (Please clearly identify action on lines below)
L. Olsen
N/A E. Wilson
N/A HB
N/A CYD
Date
Date
Date
Date
8/16/2005
8/17/2005
8/17/2005
8/16/2005
etatihrriiss aniiotAtti(,''itrr` 'dr ciltaizd r La as er it inn ti ms
Project Mgr. Signature:
11A IWO '1
City Manager Signature:
Date:
Date:
Date:
Date:
Updated 6-9-05
DATE:
SUBJECT:
ITEM:
BLUE SHEET FORMAT
August 15, 2005
City Manager — August 19, 2005
Authorization for the City Manager to enter into Asbestos
Services Agreement with Burcham Environmental Services, L.L.0
(BFS) for the Highway 79 project (Thomison Parcel 10).
Department:
Staff Person:
Justification.
Legal
Don Childs/Ashley Dawson
Authorization for the City Manager to enter into Asbestos
Services Agreement with Burcham Environmental Services,
L.L.0 (BFS) for the Highway 79 project (Thomison Parcel
10).
Funding:
Cost: $19,004.00
Source of funds: TCIP
Outside Resources: Burcham Environmental Services, L.L.C. (BFS)
Background Information: This agreement constitutes authorization by
the building owner or their authorized agent to allow BFS
to proceed with an agreement that will provide for
asbestos services at the property located at 2890 Palm
Valley Blvd (Thomison, Hwy 79 parcel)
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04
U8/12/209J N'h!1 15' 90 FAX 512 395 ;JP4U B] It 002/1105
ASBESTOS MI5/ICES AGREEMENT'
Dart:. Aligns r.12 , 2005
BLS Prujctd Number: 53744)5
Address. or Building Nnme: 3890 Palm Valley Blvd.. Round Rock, Tessas
Owner Name ex Aytlta4-ized Agent: City of Round Rode
RYZIMJNT
This 4itti veztennt uarittolu{tis auttiottx-atioc1 kry tk building owner or their autbnrirrd agars (client)
t) allow Rwrhnm P.rmirorrroo ltd] SEsn'ic�n, 1.-L..C. (BES), to pracc :s3 with the lwituwiug Scope of
Scrviccs as required by the (-'-tient. This agrec- ticclf ttutt]ttirSrtrt FSF.'; to a eve. c.I n representative
tbrthc owner during ash moo relutcd activities, This agreement alms aUuw:r BES to lite and
a c+a Irl Texas per a rtmeat of State Freatth Setvice& (TDS1IS) uoti'(•ir..ntinn4 f'{rr il'tG owner, if
required.
SCOPE OF WORK
Iii elgt,riretit will ptovide for risht;sttss sorvican at the pr party loclittion licttd above, Se1'v'ices
171�1ude flbuteneFlt gaec-ificlatioris, PCM. Tait inimilutisitiptuiraut icara.nce testing,
asbestos abatccnctit (third -Truly), anit riemnlitfrlt ,
1. .4iiatemttntSprt:ifcrsi"ieny , $500.00
Lr. Priyert> f[tna trtnitPC1 f efir rlffentirurin . , . $1.300/.00
(Estimated Time of Cirmpletitin 31.44.0. {tt) $5flil. UUf.Uay)
3, Gra..vRur Dacitinentatirm $350.00
4 tlrfresfus inspCi. n (In rlurliirg- 51,300.00
5, Asbesrtr.Q,4batemr.,ra! . S8i704.60
6 Building Deatulitlnu N.6,750.00
Ir4Yi faicd Total . $19,004.00
CLAR1F1CA.TWNS
Owner will be billed for DSHS asbmies reporting unit (AR4f)1ee . (Estimated amount
$60.43)
Project wiEl be completed is .evert days_
$URCHAM ENVIRONMENTAL SERVICSS, L.1._,.'C-
25 i; 1,24 • SNi vtTMS% 7cxaa 78046 • 512-3P6-5125 ' Fax 512.34ts-5740
Crn -os- ce- t5-7
01ir12/20N N1U 15:46 FAX 512 ;ABG 5740 BES 4031005
DAUS ANU C'U� ti;IYSAT1OJN
Payment for services rcndacd wit itti .30 tinys o 'rneeipt Otitivcice. Any adtiiliurial
services required beyond dig oj.iginal scope will be prpseiitetl Lu to uWusi orth it rep escntatives
for approval.
fate
BURCHAM ENVIf2t1NMF'NTAt., SERVICES L.L.C.
nib S. L8! - Sun Marcos. Texas Me • 512.154.577.5 .'Fox 5I2 -112.5•574i1
1C
11-7 P•
r:
03/12/2005 F I. 15,46 Fg 912 396 5744 BM 004/005
IXAS DEPARTMENT OF I'fi"1SL.TiI5,
NOTE: CIRCLE ITEMS THAT ARE AMENDED
1) Atsaremenr Csmtraottr: L x .care -tor^- In
ArJdrerfs. 2826 Hurrte: t ua?ij $ii10 Oa
Officio Phone Numgpr•;•l5-I: k'3-95-744.5
Sift; Supeivir c21..Rii i rd Gray
Elia Supervlgr cpai i Rory
Trained Urs-Sii4.,ti1EZ Lbp r11dJv;uu,rd,
•
Demolition Contractor: Lynx Contractsars
AtIr7rm;!:2:41 t -J-1 luntrr f'i. ,g., ;EJ!I!P.'10
•
1'1111exi r.nrr.9nlEsnll or {71YCrhfrir: r4};nt RJrr`I,am
Iv±alltng Addras ,`I2S`S, 1.8J Drive
;rty';;an Mtirc SiZtC: I.4
3) 1 aerlrty(wnrr City of knunel Flr:rk
Attonti{Sn''ri L -15:11f rg y
MBilirri,] Adiln,As•Prin8 Fnt .rpriae
17,7RY: Rpu^c_ Roux SIAM TX Zip; 78c Owner Phon2Numlift{� -a)?1
8-,555
"•:Note: the Invarac ror the notinoatiern tco will in Inst fa the own_: fft!hp building;Intl the bldlrng address tor Via irwoito will be
obtained Garr, the iYrfbrtheiii sr that Fs providod in this sadism.
j
Desoilption or Facility Name, Landscape Supply
Physkel Address:22g8 Fal'm Valley Lllvd. I-.ourtty: VVilliam.son t. ity •I•coitrn l-tne-k riff fkiDuet
Faciligr Wh4ne Number (NPA) Facllttt Contac] PerS{irr: Mr.• t3III StobIlen
Eresr_•riptkiri of ArealRctiirn Number: I hroc'ohout'3tric.ture
Prior LJeo.; CQmmatoial Future Use; None •
Ayv cif Build,ingiFacitity:dp+• Size:l.coa Number of Floors: I SncoPI (K • 4 ) sJ YLE$ I ND
DEMOLITION 1 RENOVATION C
MOTIFiCATI DN FORM
NeTIFICATIONP
TD F -I I , i 4 Ei rr80 Nartitxr:80-07=6.1
C.Ity: San Marcos ; ;t2rfa: 1i lir zaps
Job site Phone Wart: i512)845 -12O
TON Licence Number; •80-:%PnFi
TDH LIrierusri ldrsiIibki;, z#0 -,1M1
reeiY-•.
orrice Pharr la Number (5•f 7)1qr--244a
Otry; Son More* Stare: T; 7ip:7$i5
T!) -I Licence;.lumbar: l0 5317
�ip:.I. fPP
Office Phorro Numbor (512)336-5725
5) Type of Ww k (CHECK O1 IF Y ONE): X Demolition al •Renovation (Abatement)�; Ann,r�rt t:nnaniir[atarl
• Work will ba dining: Dpy f Everririg (l Night f 1 fid Pit
Desorlptivil 3c.1 roctvlc: t(} fl9t.(L!NSEC1=-- ;qys
dl Type ofSolidi. r [CHECKDftlLYOI49: piit>,11cR,rilcl;.. FArkievir FArtillfy0IntklxfrEre1Stitt❑ IllESE AP.17n3yFacility
I� Eullcling/Faotlriy Occupied? 'Y'ES NO
1) Nntifion.tiin Typo i;G tEOK ONLY ONO; '
(" Original (7p VI/pricing D-ayt) J cum-id/idly'', L j Anivzi
If this is 9.'1fim..r5[ECr1 i1 . liehlth.Lirrldridrnont ti ithba; ro thils?
If an ememonoy, who dirt you Lack will] at TDH?_
I'Ate.:arra i•trri,r e,rh•rnnrgErnny I II-thM frJrrrrY'-
Dwcilptlan of the Sudden, inextaet;laci event arid explulriatic+rs r r t
cqI iIpr snit r•1:rnri9- (r nnpff ..rs, :machinery, pie.
rfrnhrnt Lrl Ernr,arirvrlcy/OrCiereri
(Ericfazo tope7 original and/or lam amcrptitmnti
Einvi9orluy#,
row cut ur t^ uuld Cause
8) DCSrrILrticn bf pedeedlfreg [D h9 followed to the eluant that uncaxNetod asbintas 1s found or.previrsi non-frlabla
ds:Umevtrls111e.1 I:iatb c eles crumbled, puiverized: or reduced to powder:2.1lqo.trynoyaiprneladlre{t•fiOtry(:Ofi ultpnt,rcxaulate
SITO and twwbote rgaporoicponsr.
2) Wats rI ?.Eba;;;Lo? survey psi lumen YES.C_i 1110 .c7atei.A$fC4/OSTDFJ ill$Pe fpr License NQ:E .2468
Arial :Cal Method: t .m.h?i- • TEM I -I {L9:�cirtwP.d ft71•I 1 fiboretrxY f icazn1r. No; 3O 40$7
ar l -A tilitilrebari}r`r'ig) ir.crjea•4b:art.as iiirpirfonsissi :Lna:rna r:Eryra,T6H•J :errsnd-Irlsitec ar. •
'rl) Dc;;crtoiiun or plow demolition or renovation work, type of material, and rnalltur.(s) lu be -.rsseJ. Re/0i D(1vr rile and
rir li u i]rc wet mexhods and lull containment,
11) Description et work practicoa and antginCcrinq owitr4l,S to b0 wad to prevent cmlsolonS of acbevtos at the
ttemntiiui]frarivvdliurr, W t r]J4AltUGli„ istf[a ,•.i ,anal re van.. tnry priliErfigr. prnrem-]Grein
1S/12,1005 FRI 16;48 RI 512 395 5741 BS
17) ALI. applicable item` in the fs7lL,wi,i to nt„ rru r:r ;so uuinulaLeeJ. IF NO 4.$SE$T(1S PRESENT (l-I[CK HERE
.A. he tOs-Grsnknining Building Material
Type
Appiwirnato amount cif
AN MAMA
Check unit of meaaurrrtrwnt
.Ou
M
RACM tes hP. rr9rrmveri
R4C1911,.407 removed
InL riar Coto-• 'I non -fa -b1= rsrty{rYgd
ktcr1 r Ustepory I tibn-tnable remr}urd
i ;dr,tus;y I'riorr-fria[rle NOT rernt*'r d
Interior Category Y nor. friable rem#ved
[ reel ra{sr i At aryl! nort-ftl2,hl rerAovtd
CaterL_yal 11 noir-Viable NOT rernovp51
RACM Ott'PCICIiily C;omprmnnt
1, .) Waste Transporter Nern4: Ly,rx Cpretraciera. Irlq.
Addreuu:2e2s y tr�cuu sultc_1a4•
contact Person: Paul R+
14) wash Qispc' ai Site Name; TLS writmi
1 race;T66Q FM -'132.7
' Telephone' { 517)421-1;crit. TCF_r7 Prvr-nitJhfumb•er: MSW -2123
15) For sleuttio ilty ,n'soui ed iaeilities, attach a copy of demolition order and identify Governmental °PIGS! Oelow:
NOfT1O Itogistration No: •
Title.
Dam or order (M1 .r„TJrJiYY) / f nate: nrrliv tri hnrcu, (MMtr)nfyy) 1 f
18)€,oh.duiadOwes ofAehe.iemAhAternenl(fir1Mf€gyro Start: J&J2J J Complete: 08124105
T7) dr:handled Dates I:emairtlorifltdnok+Ation (MMUDDirr) 51art: O$125145 Cwnplete: 68J20/05
*" Note: 4th. ,stari alAttlrti,i thib ee,,[itciticire can not 4v met, flier TDH Regional or Local Program Mile& Must be ciantj.Cgeri by
Phone- prier to the start date, Pallors tali(' co tc ra err lgtion in eocordaneo to TAHPA, S•cdtiarl l.Fs.ti7,
1 hcrr.rJy Certify that all 1nrornietrrr t havo providcd i r cwrect, ron.plete, arid true tu'(Its wu:i ur illy kiloWiedye. ! acknowledge
IFta respens'all aspeote «t11e ri0t17foatJCi1 fon, Inollatltnp, but nrt owing, content and subrnlsslan det.e . The,
r rnl prnait 1/0C} por clay per violation:,
f
Dawn Dee--mha-f» owner 0$JC /G (61213E8.244.5
mrture of : rldingf t nen! Operator (!Tinted Name) (Datil 4lephone)
or Delegated Constilt:ri NC �riliavfwr) (512)386.0141
II ax Number)
ASI3ESYOS NOTIFICATION SECTION
IC}x.IC: oak; I ANCLE CONTROL L11VI3ION
lx-XAS: DEPARTMENTOF HEALTH
4 art.+s how ne`t nteampierir yrs wrtx fia3r339
AUSTIN, TX 78714-353e
PH: 512-634.0840,1.660-x73-5546
corn FlJ't3N; defect ik x30/07, Rep/aceF TOP), [cep? daled O".12544Jd. Jur aes•Fstartce irl uoirppt 4inil foram, i:a{l 1-801:4-57;1-5le
TDI I:lecnse Number: 40 d296
City! Er as Starr- ix 'rrr,' 7nf w
Phone Number: {512}846 !748
[;Ay' I,itrde
+b+trr '1 x Zip: 78010
05100,5
VIAIL.ry_C;