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CM-09-05-071Fire Management Assistance Grant (FMAG) Bastrop Co. EMC Auditor, 804 Pecan St., Bastrop, TX 78602 In State Mutual Aid Reimbursement Form Event: Bastrop Fire Dates of Deployment: 2/28/09-3/1/09 Date Submitted: 5/1/09 From City/County of: City of Round Rock Department/Agency: Finance Copies of Receipts and Payment Vouchers for Each Claim are attached: ® Yes ❑ No Personnel Costs: Regular Time Overtime Employer Share of Fringe Rpnpfite Total Personnel Costs Travel Costs Air Travel Auto Rental / Gas / Mileage Lodging Government Vehicle Costs Meals Total Travel Costs Equipment Costs Contractual Costs Commodities Other Costs (Explain in Remarks) Grand Total $314.86 $12,486.86 $12,801.72 $2,204.30 $15,006.02 Remarks Remit to: City of Round Rock, 221 E. Main St., Round Rock, TX 78664 Questions to: Elaine Wilson, 512/218-5444 or ewilson@round-rock.tx.us Certified & Authorized By: James R. Nuse, PE Signature: Title: City Manager Date: U 51 l °L) The Authorized official of the Assisting Agency certifies that the totals for each category/claim are exact costs expended by the ssisti g Agency to perform the services requested. All additional supporting documentation not included with this claim will be maintained by the Assisting Agency for a period of three (3) years following the above date of submission and may be obtained for audit purposes by notifying the Assisting Agency authorized official named herein. 4/24/2009 CSN\ -c\ -os -o1( DATE: May 1, 2009 SUBJECT: Bastrop Fire —In State Mutual Aid Reimbursement ITEM: Authorize the City Manager to sign the In State Mutual Aid Reimbursement Form for expenditures related to the Bastrop County wildfires. Department: Staff Person: Justification: Finance Cheryl Delaney, Finance Director Reimburse the City of Round Rock for personnel and equipment deployed to Bastrop County to assist with the Bastrop County wildfires. Funding: $15,006 General Fund Outside Resources: Bastrop County/Fire Management Assistance Grant $3,751.50 (25% of expenditures) Background: The City of Round Rock deployed police personnel and equipment to assist Bastrop County with their wildfires. Bastrop County has secured funding provided by the Fire Management Assistance Grant (FMAG) to reimburse twenty-five percent (25%) of the expenditures incurred by those who assisted with the wildfires.