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CM-08-08-205SRF -71a Rev. 8/5/2005 TEXAS WATER DEVELOPMENT BOARD Drinking Water Outlay Report INSTRUCTIONS: First Outlay Report: TWDB staff complete items: 1, 2, 4, 5, 7, 8,9. Entity completes items 10, 11, and 15. Columns 12. and 13 automatically total. Subsequent Outlay Reports, Entity enters Total amounts by line item from Column 12 in Column 11 and completes Column 10. NOTE: Column 9 usually will be revised by OPFCA as the project moves from planning to design and then construction. Entity will be informed as Column 9 is revised. Mail To: Texas Water Development Board P.O.Box 13231 Austin, Texas 78711-3231 2. Type of Report Partial Final 3. Outlay Report Number 3 x 4. Project ID # 61233 1. Entity Name/Address City of Round Rock 221 East Main Street Round Rock, TX 78664 5. Commitment Amount Disadvantaged Loan Loan Forgiveness Total $ 12,000,000 6. This Outlay Report From: Period Covered To: 12/01/2007 07/10/2008 7. Budget Category: 8. Total TWDB Budget 9. OPFCA Installment Ceiling 10. Current Request 11. Prior Request 12. Total Requested to Date (10 + 11) 13. Balance (8-12) Contr- Pump Replacement $ 3,764,310.00 $ 3,764,310.00 $ 2,483,791.38 $ 1,137,976.11 $ 3,621,767.49 $ 142,542.51 Water Trans Main Replacement $ 6,706,915.00 $ 6,706,915.00 $ 3,886,941.40 $ 551,945.63 $ 4,438,887.03 $ 2,268,027.97 Land, Easements, ROW $ 200,000.00 $ 200,000.00 $ - $ 200,000.00 Bond Insurance $ 47,659.00 $ 47,659.00 $ - $ 47,659.00 $ 47,659.00 $ - Bond Rating $ 24,500.00 $ 24,500.00 $ - $ 24,500.00 $ 24,500.00 $ - Attorney General $ 9,500.00 $ 9,500.00 $ - $ 9,500.00 $ 9,500.00 $ - Paying Agent $ 4,750.00 $ 4,750.00 $ - $ 4,750.00 $ 4,750.00 $ - Escrow Agent $ 750.00 $ 750.00 $ - $ 750.00 $ 750.00 $ - Loan Origination Fee $ 264,059.00 $ 264,059.00 $ - $ 264,059.00 $ 264,059.00 $ - Contingencies $ 977,557.00 $ 977,557.00 $ - $ 977,557.00 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - 14. Total $ 12,000,000.00 $ 12,000,000.00 $ 6,370,732.78 $ 2,041,139.74 $ 8,411,872.52 $ 3,588,127.48 15. Certification: I certify that to the best of my knowledge and belief that the billed costs hereon are in accordance with the above mentioned contract and all work performed is in accordance with said contract. '•n- re and Title of Authorized Representative AU C-I,2a (92240— t Date Signed Telephone Number BLUE SHEET FORMAT DATE: July 23, 2008 SUBJECT: City Manager Approval- August 1, 2008 ITEM: Action authorizing the City Manager to sign the TWDB Drinking Water Outlay Report (SRF -71a). Department: Finance Staff Person: Cheryl Delaney, Assistant Finance Director Justification: This form must be signed and submitted to the TWDB for reimbursement of loan eligible expenses. We are currently in the construction phase of both the pump replacement and pipelines. We are incurring monthly expenses from the contractors, Keystone Construction and Garney Companies, Inc. The total amount of this reimbursement request is $6,370,732.78. 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