CM-10-08-170ROUND ROCK, TEXAS
PURPOSE PASSION. PROSPERITY.
Item Caption:
City Manager Approval Summary Sheet
Consider executing invoice packet("In State Mutual Aid Reimbursement Invoice") to obtain
reimbursement- in the amount of $5,413.13 from the Texas Division of Emergency
Management
Approval Date: 20 August 2010
Department: Finance
Project Manager: Cheryl Delaney, Finance Director
Item Summary:
This item is a request to obtain reimbursement in the amount of $5,413.13 from the Texas Division of Emergency
Management for expenses related to personnel and equipment deployed for service related to TIFMAS.
Strategic Plan Relevance:
8.0 — Maintain and enhance public confidence, satisfaction and trust in City Government
Cost: Please put cost for this item ONLY
Source of Funds: Please use same source as on RFA
REV. 3/8/10
Texas Division of Emergency Management
IN STATE MUTUAL AID REIMBURSEMENT INVOICE
DISASTER / EVENT: Hurricane Alex
RESPONSE TYPE: TIFMAS
PERIOD COVERED FROM: 06/30/10 TO: 07/01/10
DATE SUBMITTED: 08/01/2010
FROM: CITY: Round Rock, Texas or COUNTY:
DEPARTMENT: Fire
REMIT PAYMENT TO: City of Round Rock -Finance Dept
(Make Check Payable to P
and mailing address info) 221 E Main St., Round Rock, TX 78664
COPIES OF RECEIPTS AND PAYMENT VOUCHERS FOR EACH CLAIM ARE ATTACHED:
D YES ❑ NO
Force Account Labor Cost
Travel Cost
Time Cost
Benefit Cost
Meals
Lodging
Regular Time
$ 1,216.15
$ 180.62
Overtime
$ 3,728.50
$ 170.86
Sub Total
$ 4,944.65
$ 351.48
Labor Cost Total =
Mileage (Personal Vehicles)
Other
Travel Cost Total =
Force Account Equipment Cost Total =
Materials Cost Total =
Contract Work Cost Total =
Rented Equipment Cost Total =
Other Costs =
GRAND TOTAL =
$ 5,296.13
$
$
117.00
$
$ 5,413.13
DESCRIPTION OF SERVICES PROVIDED: time & travel to staging area
CERTIFIED A • APPROVED BY:
SIGNATURE:
PRINTED NAME: N l use,'Re ,
EMAIL ADDRESS: cmcallister asoouund-rock.tx.us
TITLE: City Manager
DATE: Aug. 6, 2010
PHONE NUMBER: 512/218-5433
The Authorized official of the assisting Agency certifies that the totals for each category'/claim are exact costs expended by the Assisting
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
(ii
o�the Assisting Agency authorized official named herein, or other appropriate persons.
�7a
STATE OF TEXAS
MUTUAL AID REIMBURSEMENT
Printed on 8/10/2010 at 1:14 PM
TIFMAS reimbursement 2010.xls