CM-08-02-052BLUE SHEET FORMAT
DATE: February 21, 2008
SUBJECT: City Manager Approval- February 29, 2008
ITEM: Action authorizing the City Manager to sign the TWDB Loan/Grant
Participation Summary (SRF -373).
Department: Finance
Staff Person: Cindy Demers, Finance Director
Justification:
This form must be signed and submitted to the TWDB. This form meets the
requirements of the TWDB loan and is required for notice to proceed with
construction.
Funding:
Cost: N/A
Source of funds: N/A
Outside Resources: N/A
Background Information: Council designated the City Manager as the
Authorized Representative for the TWDB
DWSRF loan application and all forms to be
submitted to TWDB.
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04
TEXAS WATER DEVELOPMENT BOARD
LOAN/GRANT PARTICIPATION SUMMARY
SRF -373
I. PROJECT INFORMATION
SRF -373
Revised 07/21/06
A. TWDB Project
Number
B. Applicant/Entity Name
C. Contract or
Loan Amount
D. Program Type (insert "x° for all that apply)
61262
City of Round Rock
$ 7,945,051.72
X Drinking Water SRF (DWSRF)
Column 2
Procurement
Category
Project Description:
Raw Water Delivery System -Pipeline
Clean Water SRF (CWSRF)
Prime Contractor:
Garney Companies, Inc.
Colonia Wastewater (CWTAP)
Solicitation By:
X Applicant/Entity
Prime Contractor
Other
TWDB Construction Contract
Number:
2
II. LIST OF ACTUAL CONTRACTS / PROCUREMENTS
I
N
S
T
U
T
oColumn
N
S
Column 1 Enter the full name, street address, city/state/zip for each firm awarded a contract for the project
Y p p J
Column 2 Enter theprocurement category: CONSTRUCTION; SUPPLIES; EQUIPMENT; SERVICES
9 rY�
Column 3 Enter the type of business: SBE; MBE; WBE; SRBA; or OTHER (OTHER = Non -SBE, MBE, WBE or SBRA)
Column 4 Enter the exact amount of the awarded contract
5 Enter the exact date the contract was or will be executed
Column 6 Enter the certification type (i.e. state; federal; NCTRCA; City of Houston; Self -Certification etc.)
Column 1
Name & Address of Contracted
FirmNendor
Column 2
Procurement
Category
Column 3
Type of
Business
Column 4
Actual Contract
Awarded ($)
Column 5
Contract
Execution Date
Column 6
Type of SMWBE
Certification
Garney Companies, Inc
1333 NW Vivion Rd -
Kansas City, MO 64118
Construction
OTHER
$7,945,051.72
02/14/08
N/A
1 here6y certify that alt of thefirms fisted above were contracted to workon the specified project. I also cert that I wilt immediately not6 the Texas Water
Development Board if any of the fisted small; minority, women -owned or ruralfirms are ter
Signature - Authorized Representative
Title
Date
\II5-N/'
City Manager
23. Oa.
III. TWPROVAL SIGNATURES
OPFCA Engineer
Approval Date
SMWBE Coordinator
Approval Date