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CM-09-07-143(Household Goods Proposal/ Moving Services Contract) A-1 FREEMAN MOVING & STORAGE, INC. 590 GREENHILL DRIVE • ROUND ROCK, TX 78665 • 512/246-3706 TxDOT No.006349972C 237 E. VETERANS MEMORIAL BLVD. #A • HARKER HEIGHTS, TX 76548 • 254/699-1574 IMPORTANT NOTICE (SIGN BEFORE START OF ANY SERVICES) (A) This contract is subject to a D BINDING proposal OR NOT -TO -EXCEED proposal $ (only for listed items and services) O PRE-EXISTING CONTRACT (B) TO THE EXTENT CHARGES ARE BASED ON: O HOURLY RATE: Shipper agrees that the number of hours is not needed and will be determined when the move is complete. Shipper Initial O PER PIECE RATE: Shipper agrees the charges shall be based on the items listed by shipper per attachment. Shipper Initial This proposal is for listed items and services only. Additional items and services may result in additional costs. Items or services not included herein or on the shipper provided list and maximum charges therefor may be set forth in an addendum hereto. Shipper initial. (C) A HOUSEHOLD GOODS CARRIER'S LIABILITY FOR LOSS OR DAMAGE TO ANY SHIPMENT IS $.60 PER POUND PER ARTICLE, unless the carrier and shipper agree, in writing, to a greater level of liability. THIS IS NOT INSURANCE. Shipper initial' (D) INCREASED CARRIER LIABILITY OBTAINED: THIS IS NOT INSURANCE. (1) Actual cash or Depreciated Cash Value: Declared Amt.$Cost $ ONo Deductible ODeductible Amt. $ (Shipper's Initial) (2) Full Replacement Value Protection: Declared Amt.$ Cost $ ONo Deductible ODeductible Amt. $ (Shipper's Initial) (E) Shipper shall be required to pay for all charges prior to unloading in cash or by certified check or money order, except as may be otherwise agreed in writing between carrier and shipper. Method of payment: Cash OCk OCertifiedCk/Money Order OCharge OCOD OPPD (F) This is a contract for moving services and is subject to the terms and conditions on the front and back of this document and any addendum. This document and any addendum are also subject to the terms and provisions of carrier's filed tariff, incorporated herein by reference, except to the extent inconsistent herewith. (G) Shipper acknowledges receipt of Your Rights and Responsibilities When You Move in Texas pamphlet. Shipper Initial (H) I hereby authorize PICKUP of household goods as set forth by the terms and conditions of this contract and any addendum(s). Shipper Carrier Signature: Date: Signature No. Date: A-1 Freeman Consignee (DESTINATION) 11OunCl DOCK Palace Dept Shipper (ORIGIN) Address 590 Greenhill Drive Delivery Address 2701 N. Mays Street Loading Round Flock State Tx. Zip 78665 City Round Rock State Tx- Zip 78665 City Phone County Lt Ken Evans c,ne 845-2449 County AGREED DELIVERY PERIOD Extra Stops PACKING DATE S AGREED I PICK-UP a...r t: PERIOD s '"",.:.. a zx.. ,Y," . ,< "P. �t.,.t.. ,. .,. ., r.: E.'' Donal- ion f TP i,Ls1C/ .,7. 7/8/09 N 0 C.PtAA PACKING Dish Pack & UNPACKING Items SERVICE Quantity Containers Rate Amount Quantity Packing Rate Amount Quantity Unpacking Rate Amount Cartons: Less than 3 cubic ft. 3 cubic feet '1'11A1LER _ #1- 1. .,(----.17/ (//.. }��Q 4.5 cubic feet 2 • 6.-c"?.c>. . 6 cubic feet 6.5 cubic feet . 4 Wardrobe Carton, not less than 10 cu. ft. Mattress Carton; Crib Twin (not exceeding 39" X 75") ACKNOWLEDGEMENT THAI' THESE ARE STORAGE TRI.ILERS ONLY Double (not exceeding 54" X 75") NO ;4 ID I OR TRA EPORTATION MAY TAKE PTS TN THTS King/Q (exceeding 54" X 75")EQUlpj Long/S (39" X 80") Corrugated Containers Crates: Q THESE '1RAI1 ' ' AI•E E'OR THE TERIUD OF 6 mor ms OR LESS Gross Measurement of Crate or Container: Add Container Packing & Unpacking Totals together and insert sum total Total Container Charges $ Total Packing Charges $ Total Unpacking Charges $ STORAGE Dept. Charge Description Rate Amount Van Men Total Hours Storage: Travel Time Weight lbs Valuation First Day @ per 100 lbs Containers, and unpacking Add'I Day(s) @ per 100 lbs packing Total Storage Charges Warehouse Handling: Other: Weight lbs @ per 100 lbs Valuation: $ Pick-up: lbs Charge $ Weight Delivery: Weight lbs Charge $ TOTAL CHARGES PAYMENT Discount(%) 0 C.O.D. 0 P.P.D. 0 CASH Maximum Charges Helpers: 0 CASHIER'S OR CERTIFIED CK 0 CHARGE Total Charges 0 MONEY ORDER Ck# Amount $ Prepayment Dispatch Remarks By BALANCE DUE AGENT CODE NAME PHONE NO. TIME RECORD Start Time am/pm Cust. Initial Book Finish Time am/pm Cust. Initial Dest. Origin Midnig1lt 1 I 1 1 1 1 1 I I AM 1 (6 Miles 12 1 2 3 4 I 5 i 7 8 1 9 11 10 11 ii 12 Van No. Hauled Authorized by 1Noon 1 1 1 i 1 1 Odometer: Beginning: Ending. ORIGINAL: Gross Wt Tare Wt HHG Wt Carrier agrees to transport as consigned and described Maximum Charge Tariff in effect on date hereof and Department of Transportation and may be obtained above, the property, tendered to it for transportation under this bit of lading subject to the Maximum Rates, Rules & Regulations in Carrier's o the Terms and Conditions hereof, included on the reverse side. Carrier's charges subject to maximum charges on file for carrier at Texas rom carrier, carrier's representative or from Texas Department of Transportation at (800) 299-1700 I hereby authorize delivery at the destination set forth herein if the undersigned is not present at such destination. Carrier's Represent 've: Date: Shipment received at destin. on as set ,L.TI 1 by the terms and conditions of this con rac and any .1 endum(s). Carrier's Represen ai -• ' ^ kii/LODate: Shipper Signature: ' Date: Shipper Signature: Date: N\- 01-01- (1'_ © FORM #170 REORDER FROM SOUTHWEST MOVERS ASSOCIATION, AUSTIN, TX, 512-476-0107 Rev. 7/08 DATE: July 17, 2009 SUBJECT: City Manager Approval — July 24, 2009 ITEM: Rental Agreement Department: Police Department Staff Person: Lt. Ken Evans Justification: Consider executing a rental agreement with A-1 Freeman Moving and Storage for storage of cots and blankets. Funding: Cost: Donation Source of funds: N/A Outside Resources: Background Information: Emergency management has received about 1,600 cots and 3,700 blankets for local use. As a result, the Police Department needs somewhere to store them. A-1 Freeman Moving & Storage, Inc. has agreed to donate trailers that are not currently in use as a temporary storage solution. The agreement is for a period of 6 months. Public Comment: UPDATED APRIL 2008 5/128009 Request for City CounciUCity Manager Action R-51 City Council D City Manager Submit completed form for all City Manager and City Council approvals. Department Name: Police Department Contact Person: Tricia McFerran / Sherrill Voll / Rick White Project Mgr/Resource: Lt. Ken Evans Project Coordinator: Lt. Ken Evans Assigned Attorney: J. K. Gayle City Council or City Manager Approval Date: Agenda Wording For AdT4trEitVeEtiiLY Received: Jilt 2 2 2009 Tag it: It "LI .,t .3 Original Documents Received: Project Name: Rental Agreement ContractorNendor: A-1 FREEMAN MOVING AND STORAGE Funding Source: General Fund Additional funding Source: Amount: N/A Account Number: N/A 24 -Jul -09 Consider executing a rental agreement with A-1 Freeman Moving and Storage for storage of cots and blankets. Finance Information Is Funding Required? Yes n No n O Initial Construction Contract Construction Contract Amendment # Change Order # J1JChange in Quantity IljUnforeseen Circumstances Initial Professional Services Agreement ED Supplemental Professional Service Agreement ED Purchasing/Service Agreement Purchase Order Item(s) to be purchased Other (Please clearly identify action on lines below) F APPROVALS (to be completed ONLYbyFinaryce) Final Finance Approval R Amount C • Reoulred for Submission of ALL City Council and City Manager Items Project Mgr. Signature: Lt Ken Evans Dept. Director Signature: y Avt *City Attorney Signature: City Manager Signature: Date: 7/17/2009 te: '7— l — ,EX7f Date: 1'V* N' Date: A14 *City Attorney signature is required for all items. REVISED 7/17/2009 LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION Required for Submission of ALL City Council and City Manager Items Department Name: POLICE Project Mgr/Resource: LT. KEN EVANS nCouncil Action: ORDINANCE Agenda Wording Project Name: RENTAL AGREEMENT ContractorNendor: A-1 FREEMAN MOVING AND STORAGE n RESOLUTION City Manager Approval CMA Wording Consider executing a rental agreement with A-1 Freeman Moving and Storage for storage of cots and blankets. Attorney Approval Attorney Date ?. y, q �� Notes/Comments O: \wdox\SCCInts10121 \0902\M IS C\00165671 Updated 6/3/08