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CM-09-01-013TEXAS 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 I4 (revised) x 4. Project ID # 61262 5. Commitment Amount Disadvantaged Loan Loan Forgiveness Total $ 12,000,000 L#060050 6. This Outlay Report Period Covered From: 07/11/2008 7. Budget Category: 8. Total TWDB Budget 9. OPFCA Installment Ceiling 10. Current Request 11. Prior Request To: 12. Total Requested to Date (10+11) 11/14/2008 13. Balance (8-12) Contr - Pump Replacement $ 3,621,767.49 $ 3,621,767.49 $ 3,621,767.49 Water Trans Main Replacement $ 8,027,014.51 $ 8,027,014.51 $ 3,588,227.48 $ 4,438,787.03 Land, Easements, ROW $ 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 $ 47,659.00 $ 24,500.00 $ 9,500.00 $ 4,750.00 $ 750.00 $ 264,059.00 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 men 'oned contract and all work performed is in accordance with said contract. Si .L re and Title of Authorized Representative Date Signed Telephone Number GY1-O9 -O -013 BLUE SHEET FORMAT DATE: January 16, 2009 SUBJECT: City Manager Approval- January 23, 2009 ITEM: Action authorizing the City Manager to sign the Revised 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. This item was originally approved by City Manager on Jan. 9th, but the TWDB revised the budget amounts to match the request. They are requesting the revised Outlay Report be signed by City Manager. 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