CM-09-01-001TEXAS 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.
SRF -71a Rev. 8/5/2005
Mail To:
Texas Water Development Board
P.O.Box 13231
Austin, Texas 78711-3231
1. Entity Name/Address
City of Round Rock
221 East Main Street
Round Rock, TX 78664
2. Type of Report
Partial
Final
3. Outlay Report Number
x
4. Project ID #
61262
5. Commitment Amount
Disadvantaged Loan
Loan Forgiveness
Total
$ 12,000,000
6. This Outlay Report Period Covered
From: 07/11/2008
7. Budget Category:
8. Total TWDB
Budget
9. OPFCA
Installment Ceiling
10. Current
Request
Contr - Pump Replacement
Water Trans Main
Replacement
$ 3,764,310.00
$ 3,764,310.00
11. Prior Request
$ 3,621,767.49
$ 6,706,915.00
$ 6,706,915.00
$ 3,588,227.48
$ 4,438,787.03
Land, Easements, ROW
$ 200,000.00
$ 200,000.00
To:
12. Total Requested to
Date (10 + 11)
$ 3,621,767.49
$ 8,027,014.51
Bond Insurance
$ 47,659.00
$ 47,659.00
$ 47,659.00
Bond Rating
$ 24,500.00
$ 24,500.00
$ 24,500.00
Attorney General
$ 9,500.00
$ 9,500.00
$ 9,500.00
Paying Agent
$ 4,750.00
$ 4,750.00
$ 4,750.00
Escrow Agent
$ 750.00
$ 750.00
$ 750.00
Loan Origination Fee
$ 264,059.00
$ 264,059.00
$ 264,059.00
Contingencies
$ 977,557.00
$ 977,557.00
$ 47,659.00
$ 24,500.00
$ 9,500.00
$ 4,750.00
$ 750.00
$ 264,059.00
11/14/2008
13. Balance
(8-12)
$ 142,542.51
$ (1,320,099.51)
$ 200,000.00
$ 977,557.00
14. Total
$ 12, 000, 000.00
$ 12, 000, 000.00
$ 3,588,227.48
$ 8,411,772.52
$ 12, 000, 000.00
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.
ture and Title of Authorized Representative
I aet 424 24.54-1e)
Date igned Telephone Number
a1 -69-1I-01
BLUE SHEET FORMAT
DATE: December 23, 2008
SUBJECT: City Manager Approval- January 9, 2009
ITEM: Action authorizing the City Manager to sign the TWDB Drinking Water
Outlay Report (SRF -71a).
Department: Finance
Staff Person: Cheryl Delaney, Finance Director
Justification:
This form must be signed and submitted to the TWDB for reimbursement of
loan eligible expenses. We are in the finishing stages of construction on the
pipelines. We are incurring monthly expenses from the contractor, Garney
Companies, Inc. The total amount of this reimbursement request is
$3,588,227.48 and will be the final installment of the $12,000,000 loan from
the TWDB.
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